Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.97 / $915.55 / $1,589.02	Facility		$80.97	$915.55	$1,589.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $73.84 / $154.58	Professional		$63.30	$73.84	$154.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $93.04 / $144.21	Professional		$90.57	$93.04	$144.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $530.45 / $1,158.00	Facility		$80.95	$530.45	$1,158.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $83.70 / $143.82	Professional		$62.61	$83.70	$143.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $80.40 / $116.33	Professional		$63.27	$80.40	$116.33
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $420.00 / $900.00	Facility		$300.00	$420.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $73.56 / $118.09	Professional		$56.20	$73.56	$118.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $75.58 / $96.77	Professional		$55.63	$75.58	$96.77