Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $146.15 / $286.08	Facility		$146.15	$146.15	$286.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $127.02 / $360.19	Professional		$73.12	$127.02	$360.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $69.48 / $88.24	Professional		$69.48	$69.48	$88.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $137.52 / $229.50	Professional		$71.42	$137.52	$229.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.66 / $172.88 / $301.52	Professional		$125.66	$172.88	$301.52
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 $117.94 / $159.59 / $284.30	Professional		$117.94	$159.59	$284.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $131.12 / $170.02	Professional		$78.51	$131.12	$170.02