Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $562.34	Professional		$100.00	$169.82	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $162.18	Professional		$125.89	$138.04	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $309.03	Professional		$102.33	$177.83	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $407.38	Professional		$177.83	$234.42	$407.38
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 $100.00 / $169.82 / $316.23	Professional		$100.00	$169.82	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $331.13	Professional		$120.23	$208.93	$331.13