Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.79 / $683.79 / $1,756.74	Facility		$98.79	$683.79	$1,756.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $126.56 / $218.61	Professional		$74.45	$126.56	$218.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $92.17 / $117.06	Professional		$92.17	$92.17	$117.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.69 / $138.79 / $225.76	Professional		$78.69	$138.79	$225.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.72 / $195.47 / $357.08	Professional		$144.72	$195.47	$357.08
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.65 / $157.80 / $283.66	Professional		$125.65	$157.80	$283.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $123.76 / $182.63	Professional		$90.45	$123.76	$182.63