Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.97 / $551.49 / $2,214.05	Facility		$87.97	$551.49	$2,214.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $189.53 / $477.54	Professional		$103.40	$189.53	$477.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.91 / $173.91 / $200.00	Professional		$173.91	$173.91	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $228.14 / $384.70	Professional		$171.28	$228.14	$384.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.61 / $282.17 / $464.54	Professional		$236.61	$282.17	$464.54
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 $172.86 / $239.18 / $425.81	Professional		$172.86	$239.18	$425.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $199.66 / $273.68	Professional		$178.19	$199.66	$273.68