Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $218.78 / $831.76	Facility		$53.70	$218.78	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $645.65	Professional		$131.83	$229.09	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $208.93	Professional		$162.18	$181.97	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $407.38	Professional		$144.54	$229.09	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $512.86	Professional		$218.78	$281.84	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $398.11	Professional		$134.90	$218.78	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $398.11	Professional		$151.36	$257.04	$398.11