Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.50 / $651.25 / $1,069.16	Facility		$617.50	$651.25	$1,069.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.64 / $310.04 / $695.30	Professional		$201.64	$310.04	$695.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $237.70 / $273.35	Professional		$223.93	$237.70	$273.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $369.03 / $638.15	Professional		$233.36	$369.03	$638.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.66 / $455.30 / $805.27	Professional		$375.66	$455.30	$805.27
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 $280.02 / $385.37 / $692.80	Professional		$280.02	$385.37	$692.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.02 / $307.08 / $460.44	Professional		$264.02	$307.08	$460.44