Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.10 / $223.09 / $838.58	Facility		$54.10	$223.09	$838.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $207.68 / $411.69	Professional		$114.98	$207.68	$411.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $168.90 / $194.23	Professional		$152.01	$168.90	$194.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $235.33 / $411.43	Professional		$152.44	$235.33	$411.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.13 / $289.08 / $513.66	Professional		$251.13	$289.08	$513.66
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.88 / $251.28 / $463.34	Professional		$185.88	$251.28	$463.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.67 / $197.88 / $291.98	Professional		$177.67	$197.88	$291.98