Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.18 / $148.18 / $148.18	Facility		$148.18	$148.18	$148.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.21 / $148.18 / $180.80	Professional		$143.21	$148.18	$180.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $190.36 / $215.11	Professional		$171.32	$190.36	$215.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $206.40 / $449.63	Professional		$130.78	$206.40	$449.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.62 / $197.16 / $370.76	Professional		$160.62	$197.16	$370.76
United Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $173.75 / $433.71	Professional		$110.54	$173.75	$433.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $145.01 / $239.37	Professional		$135.26	$145.01	$239.37