Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.58 / $682.91 / $1,315.10	Facility		$92.58	$682.91	$1,315.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $249.84 / $812.52	Professional		$95.94	$249.84	$812.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $124.83 / $168.64	Professional		$120.89	$124.83	$168.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $251.98 / $478.06	Professional		$98.83	$251.98	$478.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.53 / $321.11 / $562.96	Professional		$247.53	$321.11	$562.96
United Facility/Professional Professional Modifier Low / Median / High Price $217.34 / $321.77 / $578.99	Professional		$217.34	$321.77	$578.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.15 / $284.66 / $352.71	Professional		$200.15	$284.66	$352.71