Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $363.08 / $2,137.96	Facility		$154.88	$363.08	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $436.52	Professional		$107.15	$169.82	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $154.88	Professional		$109.65	$120.23	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $295.12	Professional		$117.49	$169.82	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $363.08	Professional		$158.49	$199.53	$363.08
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 $114.82 / $162.18 / $288.40	Professional		$114.82	$162.18	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $275.42	Professional		$112.20	$177.83	$275.42