Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,584.89	Facility		$1,288.25	$1,288.25	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $316.23	Professional		$57.54	$123.03	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $77.62	Professional		$54.95	$64.57	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $257.04	Professional		$61.66	$123.03	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $239.88	Professional		$120.23	$158.49	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $218.78	Professional		$56.23	$112.20	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $208.93	Professional		$114.82	$177.83	$208.93