Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $218.78 / $891.25	Facility		$158.49	$218.78	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $645.65	Professional		$144.54	$257.04	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $346.74	Professional		$190.55	$309.03	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $741.31	Professional		$138.04	$229.09	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $489.78	Professional		$281.84	$371.54	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $77.62 / $323.59	Facility		$57.54	$77.62	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $354.81	Professional		$109.65	$204.17	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $524.81	Professional		$269.15	$436.52	$524.81