Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Facility		$218.57	$218.57	$218.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $238.49 / $274.36	Professional		$212.39	$238.49	$274.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $253.42 / $281.57 / $318.17	Professional		$253.42	$281.57	$318.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.76 / $301.99 / $664.92	Professional		$191.76	$301.99	$664.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.52 / $298.52 / $542.78	Professional		$235.52	$298.52	$542.78
United Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $253.14 / $864.87	Professional		$168.58	$253.14	$864.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.34 / $211.82 / $351.63	Professional		$198.34	$211.82	$351.63