Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.84 / $25.84 / $455.76	Facility		$25.84	$25.84	$455.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.95 / $372.42 / $572.21	Professional		$306.95	$372.42	$572.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $394.22 / $394.22 / $482.71	Professional		$394.22	$394.22	$482.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $502.54 / $502.54	Facility		$502.54	$502.54	$502.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $427.16 / $502.54	Professional		$427.16	$427.16	$502.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.29 / $706.13 / $1,016.83	Professional		$494.29	$706.13	$1,016.83
United Facility/Professional Professional Modifier Low / Median / High Price $333.89 / $371.48 / $558.63	Professional		$333.89	$371.48	$558.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.10 / $425.10 / $494.29	Professional		$425.10	$425.10	$494.29