Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $216.92	Facility		$216.92	$216.92	$216.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $247.29	Professional		$216.91	$216.92	$247.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.92 / $216.92 / $216.92	Professional		$216.92	$216.92	$216.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $166.39 / $214.97	Professional		$143.31	$166.39	$214.97
United Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $255.20 / $255.20	Professional		$216.86	$255.20	$255.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00