Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.92 / $825.92 / $825.92	Facility		$825.92	$825.92	$825.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.24 / $471.00 / $1,051.92	Professional		$265.24	$471.00	$1,051.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.90 / $375.11 / $476.39	Professional		$352.90	$375.11	$476.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.01 / $500.95 / $858.29	Professional		$321.01	$500.95	$858.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.70 / $601.08 / $1,046.99	Professional		$508.70	$601.08	$1,046.99
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 $423.98 / $552.74 / $1,184.71	Professional		$423.98	$552.74	$1,184.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.91 / $403.24 / $587.04	Professional		$362.91	$403.24	$587.04