Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.39 / $181.39 / $181.39	Facility		$181.39	$181.39	$181.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $198.34 / $250.32	Professional		$175.67	$198.34	$250.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $260.79 / $294.69	Professional		$190.25	$260.79	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.63 / $259.66 / $577.54	Professional		$168.63	$259.66	$577.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.90 / $262.89 / $471.37	Professional		$205.90	$262.89	$471.37
United Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $216.20 / $396.56	Professional		$143.83	$216.20	$396.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.41 / $181.51 / $308.85	Professional		$174.41	$181.51	$308.85