Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.04 / $141.04 / $141.04	Facility		$141.04	$141.04	$141.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.33 / $154.31 / $222.43	Professional		$136.33	$154.31	$222.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $235.20 / $265.77	Professional		$211.68	$235.20	$265.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $211.30 / $472.65	Professional		$123.51	$211.30	$472.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.69 / $205.97 / $350.38	Professional		$151.69	$205.97	$350.38
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $173.90 / $493.27	Professional		$125.00	$173.90	$493.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $159.66 / $226.08	Professional		$127.74	$159.66	$226.08