Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $407.38	Facility		$309.03	$309.03	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $275.42 / $870.96	Professional		$30.20	$275.42	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.89 / $5.50	Professional		$2.95	$3.89	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $380.19	Professional		$190.55	$288.40	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $398.11	Professional		$223.87	$309.03	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $87.10	Professional		$44.67	$60.26	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $125.89	Professional		$93.33	$93.33	$125.89