Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $3,890.45	Facility		$158.49	$758.58	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $457.09 / $1,584.89	Professional		$128.82	$457.09	$1,584.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $162.18	Professional		$125.89	$141.25	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $338.84 / $1,047.13	Professional		$125.89	$338.84	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,202.26	Professional		$562.34	$758.58	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $426.58	Facility		$371.54	$371.54	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $446.68 / $1,096.48	Professional		$128.82	$446.68	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $660.69 / $1,047.13	Professional		$128.82	$660.69	$1,047.13