Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $588.84	Professional		$123.03	$177.83	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $131.83 / $173.78	Professional		$25.12	$131.83	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $380.19	Professional		$104.71	$199.53	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $309.03	Professional		$134.90	$165.96	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $77.62 / $316.23	Facility		$19.05	$77.62	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $363.08	Professional		$114.82	$181.97	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $223.87	Professional		$138.04	$162.18	$223.87