Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $4,365.16 / $5,248.07	Facility		$457.09	$4,365.16	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $776.25	Professional		$457.09	$457.09	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $489.78	Professional		$177.83	$251.19	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $537.03	Professional		$457.09	$512.86	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63