Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $263.03	Facility		$144.54	$208.93	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $316.23	Professional		$89.13	$134.90	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $141.25	Professional		$112.20	$134.90	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $141.25	Professional		$117.49	$131.83	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90