Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.13 / $972.89 / $3,408.73	Facility		$56.13	$972.89	$3,408.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $159.75 / $447.71	Professional		$86.14	$159.75	$447.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $144.88 / $166.61	Professional		$132.38	$144.88	$166.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $192.64 / $333.09	Professional		$141.88	$192.64	$333.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $244.12 / $401.91	Professional		$205.35	$244.12	$401.91
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 $144.38 / $194.06 / $348.86	Professional		$144.38	$194.06	$348.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $167.95 / $237.83	Professional		$153.02	$167.95	$237.83