Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.45 / $918.22 / $1,582.64	Facility		$193.45	$918.22	$1,582.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $168.51 / $340.99	Professional		$100.43	$168.51	$340.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $101.78 / $131.81	Professional		$101.78	$101.78	$131.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $161.55 / $267.33	Professional		$94.16	$161.55	$267.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $205.35 / $316.79	Professional		$153.81	$205.35	$316.79
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 $135.31 / $167.71 / $295.51	Professional		$135.31	$167.71	$295.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.79 / $123.69 / $198.92	Professional		$108.79	$123.69	$198.92