Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.53 / $327.20 / $556.50	Facility		$233.53	$327.20	$556.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $190.11 / $241.06	Professional		$170.94	$190.11	$241.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $210.39 / $267.20	Professional		$210.39	$210.39	$267.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $172.95 / $646.26	Professional		$142.88	$172.95	$646.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $315.58 / $409.88	Professional		$262.99	$315.58	$409.88
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $121.99 / $210.67	Professional		$110.46	$121.99	$210.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $209.47 / $209.47	Professional		$131.50	$209.47	$209.47