Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.83 / $523.16 / $5,844.56	Facility		$285.83	$523.16	$5,844.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $175.50 / $427.34	Professional		$86.50	$175.50	$427.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $99.91 / $114.90	Professional		$89.92	$99.91	$114.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.74 / $195.20 / $330.92	Professional		$101.74	$195.20	$330.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $292.61 / $384.87	Professional		$171.38	$292.61	$384.87
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 $138.36 / $209.25 / $422.71	Professional		$138.36	$209.25	$422.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $143.13 / $294.62	Professional		$117.51	$143.13	$294.62