Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.54 / $935.88 / $2,856.22	Facility		$89.54	$935.88	$2,856.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $184.21 / $439.23	Professional		$92.84	$184.21	$439.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $111.76	Professional		$88.00	$88.00	$111.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $170.64 / $298.14	Professional		$97.89	$170.64	$298.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $195.88 / $318.91	Professional		$157.59	$195.88	$318.91
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $181.47 / $292.64	Professional		$131.63	$181.47	$292.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $141.90 / $190.19	Professional		$111.37	$141.90	$190.19