Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $776.25	Professional		$173.78	$229.09	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $239.88	Professional		$93.33	$120.23	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $389.05	Professional		$104.71	$144.54	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $380.19	Professional		$229.09	$275.42	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $169.82 / $323.59	Facility		$79.43	$169.82	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $389.05	Professional		$158.49	$199.53	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $363.08	Professional		$204.17	$288.40	$363.08