Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,905.46 / $6,456.54	Facility		$380.19	$1,905.46	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $645.65	Professional		$380.19	$398.11	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $489.78	Professional		$380.19	$380.19	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $398.11	Professional		$323.59	$380.19	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $467.74	Professional		$380.19	$426.58	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54