Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.04 / $170.04 / $203.19	Facility		$170.04	$170.04	$203.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $125.73 / $162.15	Professional		$99.41	$125.73	$162.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $135.91 / $173.98	Professional		$135.91	$135.91	$173.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $111.74 / $417.69	Professional		$70.70	$111.74	$417.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $203.88 / $254.85	Professional		$169.90	$203.88	$254.85
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $76.45 / $129.12	Professional		$54.19	$76.45	$129.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $135.07 / $135.07	Professional		$84.95	$135.07	$135.07