Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,778.28 / $3,801.89	Facility		$436.52	$1,778.28	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $933.25	Professional		$190.55	$331.13	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $295.12	Professional		$204.17	$223.87	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $562.34	Professional		$204.17	$323.59	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $812.83	Professional		$331.13	$436.52	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $707.95	Facility		$446.68	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $549.54	Professional		$199.53	$309.03	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $602.56	Professional		$213.80	$389.05	$602.56