Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $275.42 / $2,398.83	Facility		$38.90	$275.42	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $870.96	Professional		$165.96	$338.84	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $213.80	Professional		$165.96	$181.97	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $489.78	Professional		$186.21	$295.12	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $616.60	Professional		$275.42	$354.81	$616.60
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 $169.82 / $269.15 / $489.78	Professional		$169.82	$269.15	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $501.19	Professional		$186.21	$323.59	$501.19