Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $85.35 / $158.22	Facility		$75.31	$85.35	$158.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $96.55 / $132.94	Professional		$95.26	$96.55	$132.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $115.86 / $148.30	Professional		$102.98	$115.86	$148.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $101.61 / $316.29	Professional		$70.56	$101.61	$316.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $154.47 / $245.62	Professional		$128.72	$154.47	$245.62
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $76.08 / $117.14	Professional		$54.07	$76.08	$117.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $126.34 / $126.34	Professional		$64.37	$126.34	$126.34