Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $319.82	Facility		$141.25	$141.25	$319.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $135.12 / $135.12	Professional		$135.12	$135.12	$135.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $181.00 / $181.00	Professional		$181.00	$181.00	$181.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $184.15	Professional		$158.96	$158.96	$184.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $128.75 / $128.75	Professional		$128.75	$128.75	$128.75