Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.86 / $1,834.62 / $4,659.03	Facility		$177.86	$1,834.62	$4,659.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $195.36 / $476.66	Professional		$150.53	$195.36	$476.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.17 / $172.17 / $208.53	Professional		$172.17	$172.17	$208.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.99 / $232.37 / $400.23	Professional		$173.99	$232.37	$400.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.55 / $293.13 / $483.73	Professional		$247.55	$293.13	$483.73
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 $177.02 / $251.18 / $509.37	Professional		$177.02	$251.18	$509.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.09 / $202.09 / $286.72	Professional		$186.09	$202.09	$286.72