Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.43 / $1,054.43 / $1,523.35	Facility		$1,054.43	$1,054.43	$1,523.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $189.68 / $326.12	Professional		$115.88	$189.68	$326.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $128.94 / $148.29	Professional		$116.06	$128.94	$148.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.15 / $184.44 / $320.33	Professional		$112.15	$184.44	$320.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.77 / $232.46 / $403.75	Professional		$190.77	$232.46	$403.75
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.24 / $197.30 / $384.98	Professional		$145.24	$197.30	$384.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.99 / $153.38 / $235.28	Professional		$134.99	$153.38	$235.28