Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.82 / $131.27 / $226.41	Facility		$98.82	$131.27	$226.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $94.93 / $101.58	Professional		$67.98	$94.93	$101.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $128.29 / $162.93	Professional		$115.46	$128.29	$162.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $98.64 / $315.48	Professional		$70.37	$98.64	$315.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $153.94 / $244.78	Professional		$128.29	$153.94	$244.78
United Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $73.31 / $116.74	Professional		$56.45	$73.31	$116.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $125.91 / $125.91	Professional		$64.15	$125.91	$125.91