Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.97 / $660.67 / $3,329.17	Facility		$268.97	$660.67	$3,329.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.71 / $294.80 / $720.83	Professional		$227.71	$294.80	$720.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $263.08 / $302.54	Professional		$263.08	$263.08	$302.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.79 / $328.07 / $573.99	Professional		$255.79	$328.07	$573.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.86 / $422.99 / $688.59	Professional		$341.86	$422.99	$688.59
United Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Facility		$950.00	$950.00	$950.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.54 / $341.00 / $678.72	Professional		$252.54	$341.00	$678.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.45 / $296.64 / $395.67	Professional		$265.45	$296.64	$395.67