Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.73 / $906.97 / $1,616.00	Facility		$409.73	$906.97	$1,616.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $108.46 / $133.25	Professional		$104.12	$108.46	$133.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $144.61 / $164.86	Professional		$130.15	$144.61	$164.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $102.25 / $355.72	Professional		$79.16	$102.25	$355.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $180.76 / $258.38	Professional		$144.61	$180.76	$258.38
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $115.69 / $225.27	Professional		$86.77	$115.69	$225.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $122.33 / $122.33	Professional		$72.31	$122.33	$122.33