Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $13.75 / $788.47	Facility		$9.57	$13.75	$788.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $195.59 / $529.41	Professional		$192.98	$195.59	$529.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $286.87 / $364.32	Professional		$260.79	$286.87	$364.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.82 / $200.51 / $640.62	Professional		$142.82	$200.51	$640.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $312.95 / $497.59	Professional		$260.79	$312.95	$497.59
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $149.43 / $237.31	Professional		$117.36	$149.43	$237.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $255.96 / $255.96	Professional		$130.40	$255.96	$255.96