Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.39 / $715.01 / $932.05	Facility		$521.39	$715.01	$932.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $128.08 / $133.25	Professional		$92.86	$128.08	$133.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $125.49 / $151.84	Professional		$112.94	$125.49	$151.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $98.39 / $308.24	Professional		$68.84	$98.39	$308.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $156.86 / $239.43	Professional		$125.49	$156.86	$239.43
United Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $52.71 / $52.71	Facility		$52.71	$52.71	$52.71
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $109.19 / $209.13	Professional		$75.29	$109.19	$209.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $122.33 / $122.33	Professional		$62.75	$122.33	$122.33