Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.27 / $501.19 / $5,772.40	Facility		$295.27	$501.19	$5,772.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.38 / $367.20 / $724.20	Professional		$244.38	$367.20	$724.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $244.88 / $245.22 / $311.43	Professional		$244.88	$245.22	$311.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.31 / $381.99 / $658.96	Professional		$237.31	$381.99	$658.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.02 / $463.70 / $830.22	Professional		$382.02	$463.70	$830.22
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 $310.10 / $409.52 / $712.21	Professional		$310.10	$409.52	$712.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $315.67 / $468.92	Professional		$269.70	$315.67	$468.92