Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.63 / $1,485.27 / $5,569.78	Facility		$231.63	$1,485.27	$5,569.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.84 / $259.20 / $583.52	Professional		$159.84	$259.20	$583.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $201.34 / $231.54	Professional		$181.21	$201.34	$231.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.17 / $268.74 / $477.09	Professional		$182.17	$268.74	$477.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.29 / $329.47 / $585.01	Professional		$288.29	$329.47	$585.01
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 $173.23 / $266.97 / $465.68	Professional		$173.23	$266.97	$465.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.82 / $226.00 / $332.88	Professional		$211.82	$226.00	$332.88