Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $361.62 / $421.89	Facility		$361.62	$361.62	$421.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $117.59 / $285.08	Professional		$106.38	$117.59	$285.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $143.75 / $188.89	Professional		$129.38	$143.75	$188.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $97.12 / $353.31	Professional		$78.64	$97.12	$353.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $172.50 / $215.63	Professional		$143.75	$172.50	$215.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $115.53 / $220.59	Professional		$86.25	$115.53	$220.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $71.88 / $123.96	Professional		$71.88	$71.88	$123.96