Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $63.16 / $2,209.92	Facility		$47.37	$63.16	$2,209.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $295.94 / $734.07	Professional		$238.66	$295.94	$734.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $288.93 / $332.27	Professional		$281.52	$288.93	$332.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.06 / $358.55 / $589.32	Professional		$263.06	$358.55	$589.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.11 / $433.38 / $706.20	Professional		$359.11	$433.38	$706.20
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 $266.81 / $347.70 / $605.08	Professional		$266.81	$347.70	$605.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $273.93 / $307.04 / $414.46	Professional		$273.93	$307.04	$414.46