Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.16 / $337.16 / $337.16	Facility		$337.16	$337.16	$337.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.32 / $275.20 / $297.25	Professional		$247.32	$275.20	$297.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $286.18 / $286.18 / $323.38	Professional		$286.18	$286.18	$323.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.46 / $293.89 / $504.00	Professional		$236.46	$293.89	$504.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $338.23 / $614.96	Professional		$280.50	$338.23	$614.96
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.60 / $283.07 / $620.87	Professional		$205.60	$283.07	$620.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $215.07 / $307.48 / $322.58	Professional		$215.07	$307.48	$322.58