Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.32 / $234.32 / $234.32	Facility		$234.32	$234.32	$234.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $122.48 / $124.13	Professional		$79.28	$122.48	$124.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $132.41 / $168.16	Professional		$119.17	$132.41	$168.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.72 / $108.78 / $406.43	Professional		$85.72	$108.78	$406.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $198.61 / $248.27	Professional		$165.51	$198.61	$248.27
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $74.66 / $132.33	Professional		$69.51	$74.66	$132.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $131.58 / $131.58	Professional		$82.76	$131.58	$131.58