Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $140.75	Facility		$140.75	$140.75	$140.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $363.54	Professional		$140.75	$140.75	$363.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $101.81 / $101.81	Professional		$101.81	$101.81	$101.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Professional		$161.82	$161.82	$161.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $140.75 / $174.43	Professional		$128.93	$140.75	$174.43
United Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $173.08 / $173.38	Professional		$144.47	$173.08	$173.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $140.75	Professional		$140.75	$140.75	$140.75