Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.39 / $327.88 / $327.88	Facility		$323.39	$327.88	$327.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $93.89 / $209.62	Professional		$51.51	$93.89	$209.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $61.95 / $71.23	Professional		$61.95	$61.95	$71.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $104.64 / $167.10	Professional		$48.73	$104.64	$167.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $143.13 / $225.58	Professional		$102.33	$143.13	$225.58
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $107.97 / $198.64	Professional		$79.53	$107.97	$198.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $80.70 / $138.44	Professional		$56.10	$80.70	$138.44