Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Facility		$425.00	$425.00	$425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.32 / $425.00 / $586.50	Professional		$213.32	$425.00	$586.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.36 / $279.29 / $354.70	Professional		$251.36	$279.29	$354.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.66 / $288.08 / $546.59	Professional		$175.66	$288.08	$546.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.31 / $243.12 / $384.98	Professional		$208.31	$243.12	$384.98
United Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $233.08 / $438.97	Professional		$131.78	$233.08	$438.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.65 / $225.11 / $292.64	Professional		$166.65	$225.11	$292.64