Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.20 / $262.33 / $643.86	Facility		$47.20	$262.33	$643.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $158.82 / $160.97	Professional		$86.58	$158.82	$160.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $171.70 / $218.06	Professional		$154.53	$171.70	$218.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $141.09 / $527.15	Professional		$116.34	$141.09	$527.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $257.54 / $321.93	Professional		$214.62	$257.54	$321.93
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $98.74 / $171.60	Professional		$90.14	$98.74	$171.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $170.62 / $170.62	Professional		$107.31	$170.62	$170.62