Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $154.44 / $415.55	Facility		$9.67	$154.44	$415.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $260.72 / $661.94	Professional		$124.85	$260.72	$661.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.46 / $158.09 / $173.90	Professional		$126.46	$158.09	$173.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $100.80	Facility		$50.00	$50.00	$100.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $293.13 / $628.66	Professional		$138.94	$293.13	$628.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.83 / $450.47 / $601.79	Professional		$345.83	$450.47	$601.79
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.07 / $350.00 / $657.12	Professional		$220.07	$350.00	$657.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $401.58 / $494.04	Professional		$231.73	$401.58	$494.04