Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.01 / $164.42 / $164.42	Facility		$71.01	$164.42	$164.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $164.42 / $164.42	Professional		$164.41	$164.42	$164.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $55.10 / $55.10	Professional		$55.10	$55.10	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Professional		$219.62	$219.62	$219.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $211.64	Professional		$164.42	$164.42	$211.64
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $197.30 / $235.16	Professional		$164.42	$197.30	$235.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $158.15 / $158.15	Professional		$158.15	$158.15	$158.15