Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.46 / $1,084.75 / $5,336.14	Facility		$163.46	$1,084.75	$5,336.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $148.59 / $410.07	Professional		$82.05	$148.59	$410.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $132.19 / $152.02	Professional		$126.83	$132.19	$152.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $174.28 / $304.98	Professional		$130.32	$174.28	$304.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.46 / $220.35 / $367.64	Professional		$185.46	$220.35	$367.64
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 $124.19 / $172.17 / $294.63	Professional		$124.19	$172.17	$294.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $152.51 / $214.31	Professional		$139.66	$152.51	$214.31