Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.04 / $292.27 / $732.43	Facility		$162.04	$292.27	$732.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.52 / $346.48 / $572.23	Professional		$213.52	$346.48	$572.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.14 / $188.03 / $238.80	Professional		$177.14	$188.03	$238.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.96 / $334.93 / $548.65	Professional		$205.96	$334.93	$548.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.91 / $425.95 / $727.98	Professional		$334.91	$425.95	$727.98
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 $263.52 / $357.03 / $769.60	Professional		$263.52	$357.03	$769.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.09 / $275.07 / $430.79	Professional		$236.09	$275.07	$430.79