Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $133.91 / $1,257.04	Facility		$63.66	$133.91	$1,257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $233.60 / $626.04	Professional		$121.97	$233.60	$626.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $151.68 / $173.37	Professional		$108.05	$151.68	$173.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $227.36 / $410.73	Professional		$122.96	$227.36	$410.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.65 / $277.79 / $486.04	Professional		$184.65	$277.79	$486.04
United Facility/Professional Professional Modifier Low / Median / High Price $174.92 / $237.60 / $465.50	Professional		$174.92	$237.60	$465.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.27 / $247.64 / $305.08	Professional		$161.27	$247.64	$305.08