Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.04 / $911.43 / $4,063.99	Facility		$562.04	$911.43	$4,063.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $569.65 / $683.58	Professional		$455.72	$569.65	$683.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $546.86 / $607.62 / $777.75	Professional		$546.86	$607.62	$777.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.23 / $499.21 / $982.88	Facility		$311.23	$499.21	$982.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.67 / $499.52 / $1,867.15	Professional		$390.67	$499.52	$1,867.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.53 / $914.12 / $1,139.30	Professional		$759.53	$914.12	$1,139.30
United Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $341.79 / $493.69	Professional		$46.12	$341.79	$493.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.22 / $379.77 / $603.82	Professional		$296.22	$379.77	$603.82