Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.32 / $332.36 / $1,868.90	Facility		$96.32	$332.36	$1,868.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $129.40 / $312.64	Professional		$86.57	$129.40	$312.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $100.58 / $115.67	Professional		$90.52	$100.58	$115.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.12 / $126.99 / $219.17	Professional		$93.12	$126.99	$219.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $153.72 / $268.50	Professional		$134.52	$153.72	$268.50
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 $98.24 / $134.19 / $261.42	Professional		$98.24	$134.19	$261.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $107.39 / $155.47	Professional		$103.10	$107.39	$155.47