Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,905.46 / $11,220.18	Facility		$323.59	$1,905.46	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $1,318.26	Professional		$338.84	$489.78	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $478.63	Professional		$371.54	$407.38	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $891.25	Professional		$363.08	$489.78	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,047.13	Professional		$489.78	$602.56	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,621.81	Facility		$954.99	$954.99	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $891.25	Professional		$338.84	$478.63	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $831.76	Professional		$363.08	$549.54	$831.76