Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $57.54 / $323.59	Facility		$0.91	$57.54	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $776.25	Professional		$141.25	$288.40	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $186.21	Professional		$125.89	$141.25	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $398.11	Professional		$144.54	$239.88	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $512.86	Professional		$234.42	$302.00	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $389.05	Professional		$131.83	$218.78	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $426.58	Professional		$147.91	$275.42	$426.58