Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.72 / $148.47 / $2,166.88	Facility		$43.72	$148.47	$2,166.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $251.06 / $545.16	Professional		$156.06	$251.06	$545.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $149.37 / $171.78	Professional		$149.37	$149.37	$171.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $268.05 / $443.53	Professional		$163.65	$268.05	$443.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $331.61 / $550.25	Professional		$263.45	$331.61	$550.25
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 $209.09 / $261.38 / $482.85	Professional		$209.09	$261.38	$482.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.24 / $205.50 / $335.51	Professional		$186.24	$205.50	$335.51