Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $229.50 / $3,484.97	Facility		$39.97	$229.50	$3,484.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $139.72 / $394.38	Professional		$75.65	$139.72	$394.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $113.19 / $130.16	Professional		$111.23	$113.19	$130.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.38 / $165.84 / $284.19	Professional		$110.38	$165.84	$284.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.60 / $211.73 / $348.64	Professional		$177.60	$211.73	$348.64
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 $108.38 / $163.38 / $294.61	Professional		$108.38	$163.38	$294.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.86 / $132.34 / $205.33	Professional		$128.86	$132.34	$205.33