Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $227.73 / $1,290.89	Facility		$48.46	$227.73	$1,290.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $289.33 / $612.96	Professional		$161.99	$289.33	$612.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.04 / $178.93 / $205.77	Professional		$161.04	$178.93	$205.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.44 / $292.66 / $506.49	Professional		$184.44	$292.66	$506.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.91 / $357.60 / $631.84	Professional		$296.91	$357.60	$631.84
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 $238.78 / $298.35 / $536.35	Professional		$238.78	$298.35	$536.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $210.47 / $242.02 / $361.56	Professional		$210.47	$242.02	$361.56