Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,258.93 / $5,888.44	Facility		$269.15	$1,258.93	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $977.24	Professional		$199.53	$338.84	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $288.40	Professional		$204.17	$229.09	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $537.03	Professional		$208.93	$302.00	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $630.96	Professional		$309.03	$380.19	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $426.58	Facility		$371.54	$371.54	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $512.86	Professional		$213.80	$302.00	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $524.81	Professional		$218.78	$338.84	$524.81