Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.21 / $218.21 / $218.21	Facility		$218.21	$218.21	$218.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $71.23 / $137.74	Professional		$56.99	$71.23	$137.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $104.49 / $143.86	Professional		$94.99	$104.49	$143.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $67.64 / $274.29	Professional		$50.34	$67.64	$274.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $113.99 / $142.49	Professional		$94.99	$113.99	$142.49
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $47.50 / $76.93	Professional		$39.90	$47.50	$76.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $75.52 / $75.52	Professional		$47.50	$75.52	$75.52