Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $870.96	Professional		$251.19	$302.00	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $338.84	Professional		$263.03	$295.12	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $478.63	Professional		$229.09	$288.40	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $537.03	Professional		$281.84	$323.59	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $524.81	Professional		$204.17	$281.84	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $446.68	Professional		$213.80	$309.03	$446.68