Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $691.83	Professional		$154.88	$199.53	$691.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $181.97 / $218.78	Professional		$26.30	$181.97	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $407.38	Professional		$147.91	$229.09	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $371.54	Professional		$181.97	$218.78	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $112.20 / $346.74	Facility		$19.50	$112.20	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $416.87	Professional		$138.04	$199.53	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $302.00	Professional		$165.96	$218.78	$302.00