Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $912.01 / $1,318.26	Facility		$147.91	$912.01	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $416.87	Professional		$107.15	$128.82	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $147.91	Professional		$104.71	$114.82	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $257.04	Professional		$79.43	$102.33	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $239.88	Professional		$144.54	$173.78	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $109.65	Facility		$60.26	$60.26	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $218.78	Professional		$87.10	$114.82	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $123.03	Professional		$72.44	$123.03	$123.03