Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $426.58 / $1,513.56	Facility		$251.19	$426.58	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $1,047.13	Professional		$218.78	$426.58	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $363.08	Professional		$213.80	$239.88	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $660.69	Professional		$245.47	$407.38	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $891.25	Professional		$380.19	$489.78	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $691.83	Professional		$245.47	$389.05	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $691.83	Professional		$234.42	$446.68	$691.83