Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.64 / $1,904.45 / $11,125.80	Facility		$325.64	$1,904.45	$11,125.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.47 / $445.15 / $1,035.82	Professional		$338.47	$445.15	$1,035.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $374.80 / $374.80 / $469.19	Professional		$374.80	$374.80	$469.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.99 / $503.54 / $868.04	Professional		$366.99	$503.54	$868.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.52 / $612.91 / $1,050.71	Professional		$521.52	$612.91	$1,050.71
United Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Facility		$950.00	$950.00	$950.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.60 / $520.30 / $931.24	Professional		$396.60	$520.30	$931.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $409.79 / $421.86 / $603.72	Professional		$409.79	$421.86	$603.72