Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $183.83 / $183.83	Facility		$183.83	$183.83	$183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $199.80 / $247.67	Professional		$134.87	$199.80	$247.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.79 / $162.54 / $186.92	Professional		$155.79	$162.54	$186.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $229.10 / $394.94	Professional		$147.47	$229.10	$394.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.87 / $290.89 / $493.40	Professional		$242.87	$290.89	$493.40
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 $178.83 / $228.67 / $422.02	Professional		$178.83	$228.67	$422.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $189.77 / $282.83	Professional		$171.52	$189.77	$282.83