Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $977.24	Professional		$218.78	$302.00	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $295.12	Professional		$194.98	$257.04	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $575.44	Professional		$199.53	$309.03	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $537.03	Professional		$257.04	$309.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $125.89 / $489.78	Facility		$30.20	$125.89	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $588.84	Professional		$186.21	$281.84	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $426.58	Professional		$234.42	$309.03	$426.58