Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.41 / $282.41 / $282.41	Facility		$282.41	$282.41	$282.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $95.52 / $403.67	Professional		$86.20	$95.52	$403.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $116.49 / $149.11	Professional		$104.84	$116.49	$149.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $89.58 / $286.51	Professional		$63.87	$89.58	$286.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $139.79 / $174.74	Professional		$116.49	$139.79	$174.74
United Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $106.56 / $222.48	Professional		$75.72	$106.56	$222.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $58.25 / $114.34	Professional		$58.25	$58.25	$114.34