Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $190.55 / $218.78	Professional		$67.61	$190.55	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $346.74	Professional		$281.84	$281.84	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,513.56	Professional		$602.56	$602.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $66.07 / $66.07	Facility		$60.26	$66.07	$66.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58