Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $127.12 / $378.60	Facility		$46.18	$127.12	$378.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $86.76 / $351.05	Professional		$52.72	$86.76	$351.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $59.41 / $72.22	Professional		$56.00	$59.41	$72.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $103.03 / $198.89	Professional		$54.17	$103.03	$198.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $109.59 / $181.36	Professional		$82.40	$109.59	$181.36
United Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $125.41 / $210.03	Professional		$75.38	$125.41	$210.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $94.76 / $116.90	Professional		$82.40	$94.76	$116.90