Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.60 / $130.60 / $130.60	Facility		$130.60	$130.60	$130.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.85 / $515.04 / $1,023.14	Professional		$299.85	$515.04	$1,023.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.98 / $259.98 / $330.17	Professional		$259.98	$259.98	$330.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.44 / $455.89 / $778.41	Professional		$288.44	$455.89	$778.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.98 / $589.88 / $986.09	Professional		$471.98	$589.88	$986.09
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 $335.62 / $469.64 / $871.76	Professional		$335.62	$469.64	$871.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $330.20 / $371.36 / $599.24	Professional		$330.20	$371.36	$599.24