Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,412.54 / $1,412.54	Facility		$371.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $1,479.11	Professional		$346.74	$436.52	$1,479.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $524.81	Professional		$245.47	$446.68	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $912.01	Professional		$323.59	$501.19	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $851.14	Professional		$389.05	$467.74	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $177.83 / $794.33	Facility		$27.54	$177.83	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $954.99	Professional		$288.40	$446.68	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $660.69	Professional		$371.54	$478.63	$660.69