Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,765.32 / $2,910.02 / $6,514.78	Facility		$1,765.32	$2,910.02	$6,514.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $139.46 / $233.06	Professional		$112.85	$139.46	$233.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.06 / $146.62 / $178.85	Professional		$146.06	$146.62	$178.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $195.78	Facility		$195.78	$195.78	$195.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $166.41	Professional		$166.41	$166.41	$166.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $261.63 / $376.75	Professional		$183.14	$261.63	$376.75
United Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $137.05 / $206.98	Professional		$118.40	$137.05	$206.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.61 / $143.61 / $183.14	Professional		$143.61	$143.61	$183.14