Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.58 / $489.58 / $489.58	Facility		$489.58	$489.58	$489.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $76.45 / $77.80	Professional		$55.75	$76.45	$77.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $81.76 / $165.58	Professional		$74.33	$81.76	$165.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $57.39 / $182.69	Professional		$40.72	$57.39	$182.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $89.20 / $139.71	Professional		$74.33	$89.20	$139.71
United Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $41.69 / $66.90	Professional		$32.71	$41.69	$66.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $71.40 / $71.40	Professional		$37.17	$71.40	$71.40