Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $545.85 / $1,277.15	Facility		$110.34	$545.85	$1,277.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $136.28 / $196.81	Professional		$53.38	$136.28	$196.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $58.37 / $67.13	Professional		$58.37	$58.37	$67.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $138.83 / $235.67	Professional		$52.81	$138.83	$235.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $183.00 / $344.94	Professional		$135.26	$183.00	$344.94
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 $124.73 / $162.72 / $299.80	Professional		$124.73	$162.72	$299.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $132.37 / $183.00	Professional		$60.65	$132.37	$183.00