Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.71 / $487.66 / $13,036.46	Facility		$348.71	$487.66	$13,036.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.77 / $384.97 / $815.38	Professional		$243.77	$384.97	$815.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $270.91 / $311.55	Professional		$270.91	$270.91	$311.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.39 / $375.69 / $666.51	Professional		$266.39	$375.69	$666.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.88 / $474.42 / $809.48	Professional		$401.88	$474.42	$809.48
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 $304.87 / $400.69 / $737.44	Professional		$304.87	$400.69	$737.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $307.14 / $313.81 / $464.82	Professional		$307.14	$313.81	$464.82