Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.30 / $370.46 / $1,712.06	Facility		$125.30	$370.46	$1,712.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.93 / $284.20 / $530.02	Professional		$182.93	$284.20	$530.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.39 / $176.62 / $203.11	Professional		$166.39	$176.62	$203.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.66 / $301.05 / $501.50	Professional		$191.66	$301.05	$501.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.73 / $370.46 / $620.88	Professional		$310.73	$370.46	$620.88
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 $230.94 / $309.56 / $591.42	Professional		$230.94	$309.56	$591.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.31 / $234.13 / $374.55	Professional		$219.31	$234.13	$374.55