Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $1,071.52	Professional		$251.19	$331.13	$1,071.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $316.23 / $380.19	Professional		$30.90	$316.23	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $691.83	Professional		$245.47	$380.19	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $630.96	Professional		$295.12	$354.81	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $93.33 / $602.56	Facility		$22.91	$93.33	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $707.95	Professional		$173.78	$338.84	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $501.19	Professional		$281.84	$363.08	$501.19