Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $671.72	Facility		$2.24	$2.24	$671.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $226.01 / $386.20	Professional		$175.00	$226.01	$386.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $271.22 / $347.16	Professional		$241.08	$271.22	$347.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $214.20 / $870.17	Professional		$159.72	$214.20	$870.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $361.62 / $452.03	Professional		$301.35	$361.62	$452.03
United Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $126.57 / $126.57	Facility		$126.57	$126.57	$126.57
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $135.61 / $274.22	Professional		$126.57	$135.61	$274.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $150.68 / $150.68	Professional		$150.68	$150.68	$150.68