Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $537.03	Facility		$275.42	$275.42	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $794.33	Professional		$151.36	$218.78	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $257.04	Professional		$194.98	$194.98	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $208.93	Professional		$154.88	$154.88	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $562.34	Professional		$263.03	$380.19	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $251.19	Facility		$114.82	$165.96	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $295.12	Professional		$154.88	$186.21	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $316.23	Professional		$97.72	$204.17	$316.23