Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,271.64 / $2,271.64 / $3,304.81	Facility		$2,271.64	$2,271.64	$3,304.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.35 / $200.63 / $450.69	Professional		$122.35	$200.63	$450.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.70 / $129.66 / $149.12	Professional		$116.70	$129.66	$149.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $185.51 / $324.77	Professional		$113.91	$185.51	$324.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.42 / $233.24 / $406.71	Professional		$192.42	$233.24	$406.71
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 $146.54 / $202.82 / $373.28	Professional		$146.54	$202.82	$373.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $154.85 / $236.14	Professional		$136.10	$154.85	$236.14