Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $234.42	Professional		$100.00	$138.04	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $154.88	Professional		$123.03	$134.90	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $302.00	Professional		$70.79	$104.71	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $257.04	Professional		$169.82	$194.98	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $128.82	Facility		$70.79	$70.79	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $128.82	Professional		$53.70	$75.86	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $134.90	Professional		$85.11	$134.90	$134.90