Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $2,718.64 / $7,343.63	Facility		$57.95	$2,718.64	$7,343.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.22 / $490.12 / $1,269.83	Professional		$431.22	$490.12	$1,269.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $499.56 / $499.56 / $574.49	Professional		$499.56	$499.56	$574.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.59 / $566.71 / $838.88	Professional		$428.59	$566.71	$838.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.48 / $619.97 / $1,081.28	Professional		$505.48	$619.97	$1,081.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,028.00 / $1,028.00	Facility		$1,028.00	$1,028.00	$1,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.77 / $533.41 / $1,090.32	Professional		$404.77	$533.41	$1,090.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $429.05 / $532.41 / $581.29	Professional		$429.05	$532.41	$581.29