Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $149.83 / $149.83	Facility		$149.83	$149.83	$149.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $149.83 / $216.60	Professional		$124.26	$149.83	$216.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.27 / $176.27 / $176.27	Professional		$176.27	$176.27	$176.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $96.91 / $158.63	Professional		$67.30	$96.91	$158.63
United Facility/Professional Professional Modifier Low / Median / High Price $145.55 / $176.27 / $176.27	Professional		$145.55	$176.27	$176.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $121.89 / $121.89	Professional		$121.89	$121.89	$121.89