Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.59 / $657.45 / $3,864.09	Facility		$157.59	$657.45	$3,864.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $353.00 / $821.10	Professional		$131.28	$353.00	$821.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $163.61 / $207.78	Professional		$163.61	$163.61	$207.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $345.50 / $1,036.51	Professional		$126.85	$345.50	$1,036.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.55 / $740.82 / $1,406.76	Professional		$547.55	$740.82	$1,406.76
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.29 / $713.45 / $1,164.70	Professional		$550.29	$713.45	$1,164.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.61 / $644.19 / $740.82	Professional		$141.61	$644.19	$740.82