Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $180.20 / $180.20	Facility		$180.20	$180.20	$180.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $205.43	Professional		$180.20	$180.20	$205.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $180.20	Professional		$180.20	$180.20	$180.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.93 / $161.18 / $196.52	Professional		$111.93	$161.18	$196.52
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.36 / $218.36	Professional		$181.97	$218.36	$218.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06