Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,584.89 / $1,584.89	Facility		$194.98	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $645.65	Professional		$100.00	$181.97	$645.65
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	22	$794.33	$794.33	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $147.91	Professional		$100.00	$109.65	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $263.03	Professional		$93.33	$158.49	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $316.23	Professional		$147.91	$194.98	$316.23
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 $95.50 / $151.36 / $257.04	Professional		$95.50	$151.36	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $269.15	Professional		$91.20	$173.78	$269.15