Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,398.83	Facility		$912.01	$1,258.93	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $363.08	Professional		$58.88	$114.82	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $87.10	Professional		$66.07	$74.13	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $199.53	Professional		$63.10	$104.71	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $281.84	Professional		$120.23	$158.49	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $120.23 / $213.80	Professional		$63.10	$120.23	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $141.25 / $218.78	Professional		$63.10	$141.25	$218.78