Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Facility		$36.29	$36.29	$36.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.98 / $221.37 / $425.71	Professional		$198.98	$221.37	$425.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $310.55 / $310.55 / $332.35	Professional		$310.55	$310.55	$332.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $278.04	Facility		$278.04	$278.04	$278.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $202.97 / $384.91	Professional		$202.97	$202.97	$384.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.32 / $486.17 / $700.08	Professional		$340.32	$486.17	$700.08
United Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $220.01 / $258.99	Facility		$150.47	$220.01	$258.99
United Facility/Professional Professional Modifier Low / Median / High Price $188.14 / $242.54 / $386.61	Professional		$188.14	$242.54	$386.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $266.93 / $340.32	Professional		$226.80	$266.93	$340.32