Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.77 / $1,167.77 / $1,167.77	Facility		$1,167.77	$1,167.77	$1,167.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $210.98 / $243.44	Professional		$194.75	$210.98	$243.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $292.12 / $333.02	Professional		$259.66	$292.12	$333.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.33 / $200.61 / $797.56	Professional		$168.33	$200.61	$797.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $389.50 / $486.87	Professional		$324.58	$389.50	$486.87
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $146.06 / $295.36	Professional		$136.32	$146.06	$295.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.29 / $162.29 / $162.29	Professional		$162.29	$162.29	$162.29