Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.53 / $268.08 / $498.30	Facility		$144.53	$268.08	$498.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $123.64 / $303.67	Professional		$57.03	$123.64	$303.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $80.83 / $190.65	Professional		$80.83	$80.83	$190.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $115.48 / $236.27	Professional		$68.26	$115.48	$236.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.81 / $170.03 / $270.67	Professional		$131.81	$170.03	$270.67
United Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $93.86 / $177.70	Professional		$52.17	$93.86	$177.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $52.99 / $52.99	Professional		$52.99	$52.99	$52.99