Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.22 / $918.22 / $918.22	Facility		$918.22	$918.22	$918.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $118.84 / $162.77	Professional		$59.15	$118.84	$162.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $86.06 / $109.30	Professional		$77.45	$86.06	$109.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $156.69 / $276.01	Professional		$82.67	$156.69	$276.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $194.46 / $351.99	Professional		$145.10	$194.46	$351.99
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 $106.38 / $163.30 / $298.75	Professional		$106.38	$163.30	$298.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $133.12 / $196.32	Professional		$103.33	$133.12	$196.32