Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.05 / $250.05 / $250.05	Facility		$250.05	$250.05	$250.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.04 / $423.06 / $1,156.47	Professional		$210.04	$423.06	$1,156.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.38 / $236.14 / $269.91	Professional		$181.38	$236.14	$269.91
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 $227.27 / $431.84 / $902.81	Professional		$227.27	$431.84	$902.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.17 / $646.03 / $861.07	Professional		$494.17	$646.03	$861.07
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 $340.97 / $511.78 / $862.33	Professional		$340.97	$511.78	$862.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $385.11 / $575.91 / $705.96	Professional		$385.11	$575.91	$705.96