Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $178.78 / $838.58	Facility		$10.00	$178.78	$838.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $240.85 / $560.40	Professional		$143.75	$240.85	$560.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.83 / $142.90 / $164.34	Professional		$132.83	$142.90	$164.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $249.93 / $402.41	Professional		$141.16	$249.93	$402.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.33 / $309.19 / $508.40	Professional		$231.33	$309.19	$508.40
United Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $150.00 / $150.00	Facility		$128.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.66 / $261.73 / $475.69	Professional		$196.66	$261.73	$475.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.27 / $188.98 / $312.97	Professional		$160.27	$188.98	$312.97