Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.48 / $173.48 / $173.48	Facility		$173.48	$173.48	$173.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.14 / $173.48 / $239.40	Professional		$169.14	$173.48	$239.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $198.40 / $222.63	Professional		$198.40	$198.40	$222.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $245.57 / $527.86	Professional		$153.16	$245.57	$527.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.11 / $233.46 / $432.34	Professional		$188.11	$233.46	$432.34
United Facility/Professional Professional Modifier Low / Median / High Price $156.18 / $202.94 / $374.20	Professional		$156.18	$202.94	$374.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $169.03 / $281.02	Professional		$158.41	$169.03	$281.02