Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.47 / $109.47 / $109.47	Facility		$109.47	$109.47	$109.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $118.86 / $179.58	Professional		$106.52	$118.86	$179.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $168.41 / $349.91	Professional		$161.87	$168.41	$349.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $166.54 / $430.37	Professional		$100.07	$166.54	$430.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $166.89 / $282.22	Professional		$122.90	$166.89	$282.22
United Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $168.96 / $318.77	Professional		$112.64	$168.96	$318.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $129.37 / $183.44	Professional		$103.50	$129.37	$183.44