Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.78 / $1,249.39 / $1,315.20	Facility		$1,129.78	$1,249.39	$1,315.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $214.72 / $512.82	Professional		$86.28	$214.72	$512.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $102.43 / $116.46	Professional		$99.20	$102.43	$116.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $451.23	Facility		$330.00	$339.05	$451.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $191.87 / $415.15	Professional		$88.97	$191.87	$415.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.51 / $298.64 / $409.78	Professional		$231.51	$298.64	$409.78
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.09 / $235.91 / $419.92	Professional		$169.09	$235.91	$419.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.82 / $266.24 / $329.15	Professional		$182.82	$266.24	$329.15