Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.69 / $354.69 / $354.69	Facility		$354.69	$354.69	$354.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.32 / $281.14 / $601.46	Professional		$202.32	$281.14	$601.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.09 / $212.09 / $243.90	Professional		$212.09	$212.09	$243.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $340.57 / $589.28	Professional		$222.30	$340.57	$589.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.86 / $415.68 / $734.23	Professional		$357.86	$415.68	$734.23
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 $257.10 / $355.99 / $693.00	Professional		$257.10	$355.99	$693.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $278.99 / $420.33	Professional		$252.78	$278.99	$420.33