Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $269.15 / $1,047.13	Professional		$70.79	$269.15	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $102.33	Professional		$79.43	$87.10	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $724.44	Professional		$79.43	$213.80	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $794.33	Professional		$316.23	$416.87	$794.33
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 $77.62 / $331.13 / $758.58	Professional		$77.62	$331.13	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $371.54 / $575.44	Professional		$75.86	$371.54	$575.44