Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.18 / $2,317.69 / $5,129.77	Facility		$217.18	$2,317.69	$5,129.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $203.43 / $507.49	Professional		$149.15	$203.43	$507.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $193.18 / $222.16	Professional		$173.86	$193.18	$222.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.14 / $255.49 / $424.38	Professional		$176.14	$255.49	$424.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.08 / $310.72 / $518.44	Professional		$234.08	$310.72	$518.44
United Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Facility		$950.00	$950.00	$950.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $257.81 / $497.39	Professional		$184.79	$257.81	$497.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.99 / $199.30 / $316.70	Professional		$196.99	$199.30	$316.70