Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $407.38 / $4,677.35	Facility		$173.78	$407.38	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $630.96	Professional		$128.82	$234.42	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $194.98	Professional		$151.36	$169.82	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $354.81	Professional		$147.91	$199.53	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $416.87	Professional		$199.53	$251.19	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $707.95	Facility		$446.68	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $354.81	Professional		$131.83	$190.55	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $346.74	Professional		$158.49	$223.87	$346.74