Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.25 / $282.67 / $445.38	Facility		$153.25	$282.67	$445.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $165.00 / $210.75	Professional		$102.00	$165.00	$210.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Professional		$169.96	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $273.73 / $410.59	Professional		$179.96	$273.73	$410.59
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $199.95 / $200.10	Professional		$166.75	$199.95	$200.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.72 / $153.72 / $153.72	Professional		$153.72	$153.72	$153.72