Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $1,485.27 / $4,007.61	Facility		$183.83	$1,485.27	$4,007.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $220.37 / $448.28	Professional		$143.75	$220.37	$448.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $176.62 / $203.11	Professional		$158.94	$176.62	$203.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $239.66 / $425.36	Professional		$159.71	$239.66	$425.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.18 / $309.45 / $530.55	Professional		$261.18	$309.45	$530.55
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 $192.38 / $259.94 / $548.13	Professional		$192.38	$259.94	$548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $204.57 / $301.56	Professional		$185.90	$204.57	$301.56