Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,089.30 / $2,089.30	Facility		$426.58	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $891.25	Professional		$371.54	$512.86	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $275.42 / $331.13	Professional		$64.57	$275.42	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $549.54 / $616.60	Facility		$51.29	$549.54	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $977.24	Professional		$309.03	$501.19	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,148.15 / $1,412.54	Professional		$512.86	$1,148.15	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $288.40 / $457.09	Facility		$50.12	$288.40	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $776.25	Professional		$281.84	$457.09	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08