Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.50 / $593.36 / $896.57	Facility		$170.50	$593.36	$896.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $151.13 / $399.61	Professional		$145.66	$151.13	$399.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.49 / $221.65 / $252.68	Professional		$199.49	$221.65	$252.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $154.93 / $494.95	Professional		$110.33	$154.93	$494.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $241.80 / $384.46	Professional		$201.50	$241.80	$384.46
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $115.46 / $183.36	Professional		$84.63	$115.46	$183.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $197.76 / $197.76	Professional		$100.75	$197.76	$197.76