Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $241.55 / $817.61	Facility		$39.21	$241.55	$817.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $266.67 / $517.88	Professional		$147.00	$266.67	$517.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.99 / $182.67 / $210.07	Professional		$171.99	$182.67	$210.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.14 / $295.25 / $492.79	Professional		$189.14	$295.25	$492.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.97 / $364.20 / $611.03	Professional		$304.97	$364.20	$611.03
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 $226.11 / $287.70 / $528.20	Professional		$226.11	$287.70	$528.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $230.25 / $368.14	Professional		$215.43	$230.25	$368.14