Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $145.88 / $145.88	Facility		$145.88	$145.88	$145.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $201.33 / $721.98	Professional		$144.43	$201.33	$721.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.86 / $171.86 / $233.00	Professional		$171.86	$171.86	$233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.32 / $201.90 / $447.53	Professional		$134.32	$201.90	$447.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.93 / $224.12 / $331.64	Professional		$168.93	$224.12	$331.64
United Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $174.46 / $299.69	Professional		$120.11	$174.46	$299.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $199.80 / $250.31	Professional		$138.99	$199.80	$250.31