Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $457.09	Professional		$218.78	$331.13	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $478.63 / $512.86	Professional		$125.89	$478.63	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $144.54	Professional		$48.98	$74.13	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $281.84	Professional		$60.26	$74.13	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $123.03 / $616.60	Facility		$14.45	$123.03	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $338.84 / $794.33	Professional		$95.50	$338.84	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $575.44 / $645.65	Professional		$25.12	$575.44	$645.65