Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.37 / $2,397.46 / $4,147.05	Facility		$141.37	$2,397.46	$4,147.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $159.47 / $331.25	Professional		$100.26	$159.47	$331.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $133.43 / $153.44	Professional		$120.09	$133.43	$153.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $164.02 / $282.75	Professional		$114.28	$164.02	$282.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $200.14 / $346.48	Professional		$167.33	$200.14	$346.48
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.20 / $170.45 / $303.02	Professional		$121.20	$170.45	$303.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $131.74 / $202.50	Professional		$129.69	$131.74	$202.50