Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $385.50 / $2,580.00	Facility		$87.41	$385.50	$2,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $297.62 / $568.16	Professional		$184.79	$297.62	$568.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $184.51 / $212.19	Professional		$184.51	$184.51	$212.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.24 / $340.24 / $563.75	Professional		$206.24	$340.24	$563.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.33 / $450.25 / $758.86	Professional		$337.33	$450.25	$758.86
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 $200.70 / $339.77 / $618.94	Professional		$200.70	$339.77	$618.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.93 / $286.14 / $456.39	Professional		$235.93	$286.14	$456.39