Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.38 / $175.38 / $175.38	Facility		$175.38	$175.38	$175.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.13 / $180.70 / $192.92	Professional		$169.13	$180.70	$192.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.70 / $202.96 / $229.34	Professional		$171.70	$202.96	$229.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $252.45 / $518.87	Professional		$138.33	$252.45	$518.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $205.79 / $391.98	Professional		$168.76	$205.79	$391.98
United Facility/Professional Professional Modifier Low / Median / High Price $95.32 / $195.11 / $601.62	Professional		$95.32	$195.11	$601.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.06 / $150.63 / $253.14	Professional		$143.06	$150.63	$253.14