Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.55 / $332.55 / $926.97	Facility		$332.55	$332.55	$926.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $143.66 / $183.84	Professional		$116.37	$143.66	$183.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $155.75	Professional		$122.64	$122.64	$155.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $176.56 / $298.33	Professional		$135.88	$176.56	$298.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.20 / $220.34 / $342.98	Professional		$182.20	$220.34	$342.98
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 $125.22 / $175.75 / $345.87	Professional		$125.22	$175.75	$345.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $155.38 / $211.02	Professional		$128.91	$155.38	$211.02