Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $234.42 / $436.52	Facility		$0.98	$234.42	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $616.60	Professional		$162.18	$288.40	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $257.04	Professional		$162.18	$181.97	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $263.03 / $575.44	Facility		$213.80	$263.03	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $512.86	Professional		$144.54	$257.04	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $549.54	Professional		$251.19	$416.87	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $331.13 / $1,000.00	Facility		$213.80	$331.13	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $467.74	Professional		$128.82	$229.09	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $436.52 / $537.03	Professional		$151.36	$436.52	$537.03