Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.19 / $1,032.00 / $2,694.16	Facility		$183.19	$1,032.00	$2,694.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.10 / $159.87 / $392.78	Professional		$111.10	$159.87	$392.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $143.10 / $164.56	Professional		$142.32	$143.10	$164.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.46 / $188.44 / $324.08	Professional		$140.46	$188.44	$324.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.91 / $237.72 / $391.82	Professional		$199.91	$237.72	$391.82
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 $144.19 / $190.96 / $383.17	Professional		$144.19	$190.96	$383.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.55 / $164.44 / $231.14	Professional		$149.55	$164.44	$231.14