Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.48 / $579.48 / $2,293.14	Facility		$579.48	$579.48	$2,293.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $117.34 / $205.74	Professional		$66.64	$117.34	$205.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $78.51 / $90.29	Professional		$70.66	$78.51	$90.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $122.07 / $211.68	Professional		$68.94	$122.07	$211.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $149.26 / $260.52	Professional		$107.36	$149.26	$260.52
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.86 / $127.03 / $233.80	Professional		$101.86	$127.03	$233.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $103.48 / $145.24	Professional		$74.77	$103.48	$145.24