Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.39 / $3,181.92 / $3,479.47	Facility		$861.39	$3,181.92	$3,479.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.23 / $1,556.84 / $2,132.03	Professional		$409.23	$1,556.84	$2,132.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $378.57 / $378.57 / $529.20	Professional		$378.57	$378.57	$529.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.04 / $930.38 / $2,677.91	Professional		$387.04	$930.38	$2,677.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.26 / $1,622.24 / $2,779.74	Professional		$602.26	$1,622.24	$2,779.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.60 / $1,941.90 / $3,519.99	Professional		$1,385.60	$1,941.90	$3,519.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $372.35 / $1,384.40 / $1,952.69	Professional		$372.35	$1,384.40	$1,952.69