Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.02 / $882.49 / $5,093.89	Facility		$267.02	$882.49	$5,093.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $272.41 / $818.71	Professional		$178.44	$272.41	$818.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $247.89 / $247.89 / $285.07	Professional		$247.89	$247.89	$285.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.02 / $308.55 / $533.64	Professional		$211.02	$308.55	$533.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.77 / $374.63 / $638.04	Professional		$319.77	$374.63	$638.04
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $424.00	Facility		$375.00	$375.00	$424.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.80 / $322.89 / $590.41	Professional		$255.80	$322.89	$590.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $241.09 / $252.62 / $369.99	Professional		$241.09	$252.62	$369.99