Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $758.58 / $2,137.96	Facility		$100.00	$758.58	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $537.03	Professional		$81.28	$190.55	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $104.71	Professional		$81.28	$89.13	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $199.53 / $446.68	Professional		$89.13	$199.53	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $346.74	Professional		$79.43	$229.09	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $190.55 / $436.52	Facility		$67.61	$190.55	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $218.78 / $457.09	Professional		$83.18	$218.78	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $354.81	Professional		$181.97	$229.09	$354.81