Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $741.31 / $1,318.26	Facility		$87.10	$741.31	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $223.87 / $758.58	Professional		$91.20	$223.87	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $147.91	Professional		$112.20	$123.03	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $239.88 / $512.86	Professional		$107.15	$239.88	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $501.19	Professional		$213.80	$288.40	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $416.87	Professional		$93.33	$204.17	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $389.05	Professional		$199.53	$323.59	$389.05