Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.99 / $127.99 / $127.99	Facility		$127.99	$127.99	$127.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $139.60 / $196.20	Professional		$127.99	$139.60	$196.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.60 / $211.13 / $238.58	Professional		$186.60	$211.13	$238.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $215.48 / $401.29	Professional		$105.79	$215.48	$401.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $176.43 / $316.08	Professional		$129.93	$176.43	$316.08
United Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $184.51 / $336.23	Professional		$106.96	$184.51	$336.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $136.77 / $194.02	Professional		$109.42	$136.77	$194.02