Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $251.19 / $295.12	Facility		$190.55	$251.19	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $194.98	Professional		$128.82	$151.36	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $177.83	Professional		$144.54	$158.49	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $302.00	Professional		$199.53	$229.09	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $151.36	Facility		$83.18	$83.18	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $162.18	Professional		$83.18	$89.13	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00