Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.62 / $197.42 / $411.85	Facility		$158.62	$197.42	$411.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $129.80 / $347.86	Professional		$75.00	$129.80	$347.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $140.32 / $159.96	Professional		$123.10	$140.32	$159.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $115.38 / $431.38	Professional		$90.77	$115.38	$431.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $210.48 / $263.10	Professional		$175.40	$210.48	$263.10
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $87.70 / $159.61	Professional		$73.67	$87.70	$159.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $139.44 / $139.44	Professional		$87.70	$139.44	$139.44