Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $416.87	Professional		$251.19	$269.15	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $281.84	Professional		$229.09	$269.15	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $288.40	Professional		$229.09	$269.15	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19