Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $338.84 / $398.11	Facility		$177.83	$338.84	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $309.03	Professional		$169.82	$208.93	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $234.42	Professional		$104.71	$128.82	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $478.63	Professional		$169.82	$251.19	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $346.74	Professional		$173.78	$251.19	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $102.33 / $363.08	Facility		$35.48	$102.33	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $426.58	Professional		$123.03	$213.80	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $331.13	Professional		$173.78	$269.15	$331.13