Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,122.02	Facility		$741.31	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $288.40 / $588.84	Professional		$120.23	$288.40	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $144.54	Professional		$114.82	$128.82	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $338.84	Facility		$134.90	$158.49	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $489.78	Professional		$104.71	$234.42	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $489.78	Professional		$257.04	$323.59	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Facility		$89.13	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $223.87 / $380.19	Professional		$93.33	$223.87	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $302.00 / $407.38	Professional		$114.82	$302.00	$407.38