Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.95 / $1,764.38 / $3,907.25	Facility		$821.95	$1,764.38	$3,907.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $153.50 / $303.67	Professional		$85.00	$153.50	$303.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $103.45 / $120.72	Professional		$101.19	$103.45	$120.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $335.55 / $492.32	Facility		$314.00	$335.55	$492.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $162.79 / $315.27	Professional		$86.58	$162.79	$315.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $212.74 / $300.42	Professional		$175.74	$212.74	$300.42
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $445.00	Facility		$445.00	$445.00	$445.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $170.30 / $330.94	Professional		$137.96	$170.30	$330.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $135.79 / $212.74	Professional		$103.00	$135.79	$212.74