Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.24 / $642.24 / $642.24	Facility		$642.24	$642.24	$642.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.01 / $144.94 / $177.52	Professional		$143.01	$144.94	$177.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $154.60 / $196.34	Professional		$154.60	$154.60	$196.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $126.98 / $474.83	Professional		$104.83	$126.98	$474.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $231.90 / $289.88	Professional		$193.25	$231.90	$289.88
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $88.87 / $175.85	Professional		$81.17	$88.87	$175.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $153.63 / $153.63	Professional		$96.63	$153.63	$153.63