Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $741.31	Professional		$173.78	$229.09	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $213.80 / $239.88	Professional		$36.31	$213.80	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $467.74	Professional		$169.82	$263.03	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $426.58	Professional		$208.93	$245.47	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $95.50 / $389.05	Facility		$24.55	$95.50	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $467.74	Professional		$144.54	$223.87	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $346.74	Professional		$181.97	$251.19	$346.74