Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $73.08 / $387.43	Facility		$1.00	$73.08	$387.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $231.53 / $462.47	Professional		$135.00	$231.53	$462.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $140.05 / $164.87	Professional		$126.04	$140.05	$164.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $241.58 / $396.61	Professional		$145.11	$241.58	$396.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.09 / $307.68 / $510.20	Professional		$236.09	$307.68	$510.20
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 $186.92 / $249.49 / $476.30	Professional		$186.92	$249.49	$476.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $189.45 / $311.33	Professional		$167.29	$189.45	$311.33