Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $428.31 / $3,784.48	Facility		$1.00	$428.31	$3,784.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.31 / $383.70 / $828.08	Professional		$214.31	$383.70	$828.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $278.12 / $283.63 / $354.60	Professional		$278.12	$283.63	$354.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.23 / $408.82 / $708.51	Professional		$248.23	$408.82	$708.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.60 / $497.83 / $891.40	Professional		$399.60	$497.83	$891.40
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.71 / $433.08 / $763.17	Professional		$336.71	$433.08	$763.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.97 / $340.34 / $503.25	Professional		$280.97	$340.34	$503.25