Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,715.35	Facility		$2,290.87	$2,290.87	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $1,000.00	Professional		$162.18	$302.00	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $208.93	Professional		$162.18	$181.97	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $467.74	Professional		$177.83	$257.04	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $562.34	Professional		$263.03	$323.59	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $707.95	Facility		$446.68	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $446.68	Professional		$162.18	$239.88	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $457.09	Professional		$190.55	$295.12	$457.09