Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $323.59 / $3,162.28	Facility		$2.00	$323.59	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $691.83	Professional		$154.88	$269.15	$691.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $234.42	Professional		$181.97	$204.17	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $457.09	Professional		$169.82	$257.04	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $562.34	Professional		$245.47	$316.23	$562.34
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 $162.18 / $245.47 / $446.68	Professional		$162.18	$245.47	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $436.52	Professional		$169.82	$281.84	$436.52