Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $142.63 / $398.58	Facility		$62.10	$142.63	$398.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $142.63 / $149.76	Professional		$74.17	$142.63	$149.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $113.61 / $350.89	Professional		$81.36	$113.61	$350.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.16 / $252.24	Professional		$142.63	$171.16	$252.24
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $64.18 / $129.79	Professional		$59.90	$64.18	$129.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63