Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $380.19 / $2,041.74	Facility		$83.18	$380.19	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $223.87 / $1,071.52	Professional		$77.62	$223.87	$1,071.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $120.23	Professional		$91.20	$100.00	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $323.59 / $812.83	Professional		$91.20	$323.59	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $812.83	Professional		$323.59	$426.58	$812.83
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 $79.43 / $239.88 / $776.25	Professional		$79.43	$239.88	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $588.84	Professional		$371.54	$489.78	$588.84