Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $436.52	Facility		$151.36	$245.47	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $331.13	Professional		$141.25	$173.78	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $208.93	Professional		$162.18	$181.97	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $354.81	Professional		$104.71	$125.89	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $302.00	Professional		$204.17	$234.42	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $154.88	Facility		$85.11	$85.11	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $162.18	Professional		$85.11	$91.20	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33