Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.09 / $167.09 / $167.09	Facility		$167.09	$167.09	$167.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $182.36 / $266.52	Professional		$162.68	$182.36	$266.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $215.01 / $279.47 / $304.62	Professional		$215.01	$279.47	$304.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $245.41 / $553.54	Professional		$146.01	$245.41	$553.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $243.51 / $413.40	Professional		$179.33	$243.51	$413.40
United Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $211.39 / $409.62	Professional		$169.58	$211.39	$409.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $188.77 / $267.93	Professional		$151.02	$188.77	$267.93