Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.16 / $267.20 / $378.18	Facility		$255.16	$267.20	$378.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $285.47 / $565.15	Professional		$180.90	$285.47	$565.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.66 / $204.07 / $234.68	Professional		$183.66	$204.07	$234.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.13 / $298.20 / $531.08	Professional		$197.13	$298.20	$531.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.58 / $367.52 / $648.46	Professional		$321.58	$367.52	$648.46
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 $238.90 / $313.29 / $589.40	Professional		$238.90	$313.29	$589.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.97 / $251.28 / $371.79	Professional		$232.97	$251.28	$371.79