Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.96 / $512.96 / $520.21	Facility		$512.96	$512.96	$520.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $153.41 / $155.47	Professional		$113.20	$153.41	$155.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $207.31 / $236.33	Professional		$134.75	$207.31	$236.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $159.40 / $509.44	Professional		$113.57	$159.40	$509.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $248.77 / $395.55	Professional		$207.31	$248.77	$395.55
United Facility/Professional Facility Modifier Low / Median / High Price $87.07 / $87.07 / $87.07	Facility		$87.07	$87.07	$87.07
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $118.79 / $188.65	Professional		$87.07	$118.79	$188.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $203.47 / $203.47	Professional		$103.66	$203.47	$203.47