Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $336.42 / $16,933.80	Facility		$1.98	$336.42	$16,933.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $234.02 / $481.54	Professional		$144.69	$234.02	$481.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $190.14 / $218.66	Professional		$186.78	$190.14	$218.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $259.86 / $458.52	Professional		$171.87	$259.86	$458.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.95 / $328.56 / $561.17	Professional		$276.95	$328.56	$561.17
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 $205.60 / $272.11 / $479.65	Professional		$205.60	$272.11	$479.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $216.57 / $319.99	Professional		$199.60	$216.57	$319.99