Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,445.44 / $1,445.44	Facility		$416.87	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $416.87 / $537.03	Professional		$144.54	$416.87	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $537.03	Professional		$416.87	$416.87	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $489.78	Professional		$354.81	$416.87	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11