Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.62 / $157.06 / $901.40	Facility		$109.62	$157.06	$901.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $147.18 / $293.77	Professional		$109.62	$147.18	$293.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $120.36 / $138.41	Professional		$108.33	$120.36	$138.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $153.02 / $252.11	Professional		$107.50	$153.02	$252.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.52 / $190.73 / $306.41	Professional		$161.52	$190.73	$306.41
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 $114.79 / $163.06 / $332.24	Professional		$114.79	$163.06	$332.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $120.96 / $187.21	Professional		$117.04	$120.96	$187.21