Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $1,122.28 / $3,121.85	Facility		$143.22	$1,122.28	$3,121.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $213.15 / $459.59	Professional		$152.91	$213.15	$459.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $200.96 / $231.10	Professional		$180.86	$200.96	$231.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.37 / $218.94 / $373.74	Professional		$175.37	$218.94	$373.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.46 / $261.12 / $421.48	Professional		$221.46	$261.12	$421.48
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 $149.03 / $206.69 / $409.41	Professional		$149.03	$206.69	$409.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $203.45 / $255.53	Professional		$163.47	$203.45	$255.53