Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.37 / $3,210.62 / $3,210.62	Facility		$929.37	$3,210.62	$3,210.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.47 / $885.02 / $2,220.55	Professional		$751.47	$885.02	$2,220.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $886.98 / $886.98 / $1,020.03	Professional		$886.98	$886.98	$1,020.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.79 / $1,007.00 / $1,706.65	Professional		$802.79	$1,007.00	$1,706.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.73 / $1,322.57 / $2,282.73	Professional		$1,055.73	$1,322.57	$2,282.73
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $725.89 / $954.62 / $1,663.74	Professional		$725.89	$954.62	$1,663.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $811.75 / $931.00 / $1,222.48	Professional		$811.75	$931.00	$1,222.48