Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $630.96 / $630.96	Facility		$151.36	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,380.38	Professional		$346.74	$524.81	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $457.09	Professional		$346.74	$389.05	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $870.96	Professional		$354.81	$501.19	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $1,047.13	Professional		$562.34	$676.08	$1,047.13
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 $316.23 / $467.74 / $891.25	Professional		$316.23	$467.74	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $954.99	Professional		$398.11	$616.60	$954.99