Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.25 / $651.25 / $651.25	Facility		$651.25	$651.25	$651.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.71 / $352.80 / $849.20	Professional		$162.71	$352.80	$849.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.41 / $179.13 / $206.00	Professional		$170.41	$179.13	$206.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $355.93 / $598.28	Professional		$162.94	$355.93	$598.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.36 / $469.96 / $884.30	Professional		$347.36	$469.96	$884.30
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 $297.91 / $400.55 / $784.82	Professional		$297.91	$400.55	$784.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.29 / $297.72 / $469.96	Professional		$187.29	$297.72	$469.96