Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $912.01	Facility		$812.83	$812.83	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $512.86 / $2,089.30	Professional		$186.21	$512.86	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $239.88	Professional		$186.21	$208.93	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $616.60	Professional		$177.83	$338.84	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $831.76	Professional		$363.08	$478.63	$831.76
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 $169.82 / $346.74 / $616.60	Professional		$169.82	$346.74	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $426.58 / $660.69	Professional		$165.96	$426.58	$660.69