Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.40 / $406.96 / $1,764.26	Facility		$164.40	$406.96	$1,764.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $102.75 / $333.94	Professional		$45.00	$102.75	$333.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $109.60 / $139.19	Professional		$109.60	$109.60	$139.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $97.36 / $395.36	Professional		$22.29	$97.36	$395.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $164.40 / $205.50	Professional		$137.00	$164.40	$205.50
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.65 / $123.30	Professional		$57.54	$61.65	$123.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $109.00 / $109.00	Professional		$68.50	$109.00	$109.00