Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.55 / $418.56 / $1,196.15	Facility		$291.55	$418.56	$1,196.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $146.51 / $392.64	Professional		$104.24	$146.51	$392.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $197.99 / $239.95	Professional		$178.19	$197.99	$239.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.55 / $156.16 / $486.91	Professional		$108.55	$156.16	$486.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $237.59 / $377.76	Professional		$197.99	$237.59	$377.76
United Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $113.45 / $180.17	Professional		$87.12	$113.45	$180.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $194.32 / $194.32	Professional		$99.00	$194.32	$194.32