Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $660.69	Professional		$173.78	$213.80	$660.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $234.42	Professional		$190.55	$213.80	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $467.74	Professional		$131.83	$165.96	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $398.11	Professional		$263.03	$316.23	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $199.53	Facility		$112.20	$112.20	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $346.74	Professional		$154.88	$186.21	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $208.93	Professional		$131.83	$208.93	$208.93