Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.30 / $908.30 / $1,102.89	Facility		$908.30	$908.30	$1,102.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $129.88 / $180.10	Professional		$128.15	$129.88	$180.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.85 / $173.17 / $209.54	Professional		$155.85	$173.17	$209.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $136.63 / $425.74	Professional		$94.91	$136.63	$425.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $216.46 / $330.41	Professional		$173.17	$216.46	$330.41
United Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Facility		$72.73	$72.73	$72.73
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $155.85 / $288.58	Professional		$103.90	$155.85	$288.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $169.97 / $169.97	Professional		$86.59	$169.97	$169.97