Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,290.87 / $2,290.87	Facility		$575.44	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $446.68	Professional		$69.18	$147.91	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $89.13	Professional		$67.61	$74.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $190.55	Professional		$66.07	$117.49	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $263.03	Professional		$107.15	$144.54	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $194.98	Professional		$64.57	$109.65	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $199.53	Professional		$60.26	$128.82	$199.53