Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.75 / $257.83 / $4,315.26	Facility		$155.75	$257.83	$4,315.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $181.60 / $417.43	Professional		$129.15	$181.60	$417.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $151.19 / $173.88	Professional		$147.22	$151.19	$173.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.10 / $201.18 / $346.58	Professional		$151.10	$201.18	$346.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.60 / $253.25 / $417.89	Professional		$213.60	$253.25	$417.89
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $204.13 / $361.65	Professional		$154.13	$204.13	$361.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $176.25 / $246.99	Professional		$160.34	$176.25	$246.99