Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $219.73 / $369.58	Facility		$0.98	$219.73	$369.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.35 / $244.85 / $554.91	Professional		$142.35	$244.85	$554.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $181.54 / $265.51	Professional		$148.16	$181.54	$265.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.72 / $253.55 / $599.00	Facility		$223.72	$253.55	$599.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $280.00 / $571.16	Professional		$150.44	$280.00	$571.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.64 / $382.58 / $572.07	Professional		$244.64	$382.58	$572.07
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $322.00 / $1,008.00	Facility		$214.00	$322.00	$1,008.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.57 / $292.85 / $536.29	Professional		$177.57	$292.85	$536.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $375.11 / $461.99	Professional		$150.91	$375.11	$461.99