Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $524.81	Professional		$131.83	$204.17	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $204.17	Professional		$158.49	$173.78	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $389.05	Professional		$147.91	$229.09	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $489.78	Professional		$213.80	$281.84	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $426.58	Facility		$371.54	$371.54	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $389.05	Professional		$138.04	$213.80	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $389.05	Professional		$147.91	$251.19	$389.05