Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $954.99	Facility		$457.09	$758.58	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $229.09 / $524.81	Professional		$89.13	$229.09	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $144.54	Professional		$107.15	$117.49	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $257.04 / $549.54	Professional		$107.15	$257.04	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $562.34	Professional		$229.09	$309.03	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $223.87 / $457.09	Professional		$93.33	$223.87	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $416.87	Professional		$229.09	$346.74	$416.87