Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.38 / $68.38 / $68.38	Facility		$68.38	$68.38	$68.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $308.00 / $568.37	Professional		$77.29	$308.00	$568.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $96.88 / $123.04	Professional		$96.88	$96.88	$123.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $211.91 / $783.62	Professional		$78.72	$211.91	$783.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.81 / $419.15 / $1,014.33	Professional		$309.81	$419.15	$1,014.33
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 $396.75 / $520.38 / $853.64	Professional		$396.75	$520.38	$853.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $364.48 / $419.15	Professional		$88.07	$364.48	$419.15