Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $346.74	Professional		$204.17	$239.88	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $263.03	Professional		$208.93	$234.42	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $512.86	Professional		$151.36	$181.97	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $436.52	Professional		$288.40	$338.84	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $223.87	Facility		$123.03	$123.03	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $234.42	Professional		$123.03	$131.83	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54