Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.18 / $188.01 / $1,977.61	Facility		$109.18	$188.01	$1,977.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $143.41 / $292.62	Professional		$91.70	$143.41	$292.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $105.95 / $121.84	Professional		$105.95	$105.95	$121.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $154.44 / $266.35	Professional		$104.13	$154.44	$266.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.51 / $195.54 / $326.33	Professional		$164.51	$195.54	$326.33
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 $119.50 / $162.94 / $283.38	Professional		$119.50	$162.94	$283.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $124.49 / $189.88	Professional		$121.08	$124.49	$189.88