Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.94 / $100.94 / $970.79	Facility		$100.94	$100.94	$970.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $163.24 / $309.23	Professional		$98.87	$163.24	$309.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.83 / $114.26 / $131.40	Professional		$102.83	$114.26	$131.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $168.16 / $289.94	Professional		$104.46	$168.16	$289.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.90 / $210.47 / $364.29	Professional		$171.90	$210.47	$364.29
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 $132.38 / $168.76 / $311.83	Professional		$132.38	$168.76	$311.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $139.12 / $212.39	Professional		$121.54	$139.12	$212.39