Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.88 / $495.88 / $495.88	Facility		$495.88	$495.88	$495.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $105.55 / $281.45	Professional		$104.14	$105.55	$281.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.66 / $140.72 / $173.83	Professional		$126.66	$140.72	$173.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $108.20 / $346.07	Professional		$77.15	$108.20	$346.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $168.88 / $211.10	Professional		$140.72	$168.88	$211.10
United Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $126.65 / $245.79	Professional		$84.44	$126.65	$245.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.37 / $138.12	Professional		$70.37	$70.37	$138.12