Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.28 / $275.39 / $275.39	Facility		$67.28	$275.39	$275.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $313.95	Professional		$275.39	$275.39	$313.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $275.39	Professional		$275.39	$275.39	$275.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $287.00 / $287.00	Professional		$287.00	$287.00	$287.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $321.94 / $324.00	Professional		$247.34	$321.94	$324.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $23.28 / $23.28	Professional		$23.28	$23.28	$23.28