Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $1,047.13 / $3,162.28	Facility		$2.45	$1,047.13	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $501.19	Professional		$173.78	$257.04	$501.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $302.00	Professional		$223.87	$245.47	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $489.78	Professional		$147.91	$181.97	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $416.87	Professional		$275.42	$316.23	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $208.93	Facility		$114.82	$114.82	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $223.87	Professional		$114.82	$123.03	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04