Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $156.16 / $156.16	Facility		$156.16	$156.16	$156.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $162.97 / $178.02	Professional		$156.16	$162.97	$178.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $156.16 / $162.97	Professional		$156.16	$156.16	$162.97
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 $162.97 / $162.97 / $196.52	Professional		$162.97	$162.97	$196.52
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $184.17 / $218.36	Professional		$162.97	$184.17	$218.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $149.94 / $149.94	Professional		$149.94	$149.94	$149.94