Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.80 / $415.45 / $488.46	Facility		$99.80	$415.45	$488.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $500.14 / $625.16	Professional		$416.78	$500.14	$625.16
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $187.55 / $375.10	Professional		$175.05	$187.55	$375.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $416.78 / $416.78	Professional		$208.39	$416.78	$416.78