Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $621.21 / $3,103.95	Facility		$24.11	$621.21	$3,103.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $195.98 / $576.83	Professional		$103.43	$195.98	$576.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $166.13 / $210.99	Professional		$166.13	$166.13	$210.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $225.63 / $389.25	Professional		$144.43	$225.63	$389.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.76 / $282.29 / $472.35	Professional		$238.76	$282.29	$472.35
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 $186.45 / $238.45 / $471.89	Professional		$186.45	$238.45	$471.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.02 / $187.00 / $277.27	Professional		$166.02	$187.00	$277.27