Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $201.71 / $263.14	Facility		$70.00	$201.71	$263.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.92 / $151.74 / $406.66	Professional		$124.92	$151.74	$406.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $118.76 / $150.83	Professional		$118.76	$118.76	$150.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $170.01 / $350.32	Professional		$121.41	$170.01	$350.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $196.61 / $284.66	Professional		$163.69	$196.61	$284.66
United Facility/Professional Professional Modifier Low / Median / High Price $108.06 / $165.60 / $301.12	Professional		$108.06	$165.60	$301.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $48.19 / $48.19	Professional		$48.19	$48.19	$48.19