Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.87 / $471.87 / $471.87	Facility		$471.87	$471.87	$471.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $182.38 / $611.41	Professional		$161.16	$182.38	$611.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.56 / $229.09 / $290.94	Professional		$93.56	$229.09	$290.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $144.41 / $506.41	Professional		$99.27	$144.41	$506.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.48 / $295.42 / $379.11	Professional		$237.48	$295.42	$379.11
United Facility/Professional Facility Modifier Low / Median / High Price $263.83 / $263.83 / $263.83	Facility		$263.83	$263.83	$263.83
United Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $211.92 / $348.63	Professional		$156.75	$211.92	$348.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.49 / $273.10 / $340.05	Professional		$202.49	$273.10	$340.05