Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.78 / $1,619.45 / $2,378.27	Facility		$158.78	$1,619.45	$2,378.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $146.81 / $356.06	Professional		$77.95	$146.81	$356.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $130.12 / $149.63	Professional		$129.04	$130.12	$149.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $169.10 / $291.29	Professional		$127.08	$169.10	$291.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $213.05 / $351.59	Professional		$178.96	$213.05	$351.59
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 $127.89 / $171.42 / $369.51	Professional		$127.89	$171.42	$369.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $148.94 / $206.77	Professional		$133.57	$148.94	$206.77