Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.56 / $191.91 / $191.92	Professional		$130.56	$191.91	$191.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.53 / $144.53 / $171.72	Professional		$144.53	$144.53	$171.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.82 / $191.92 / $191.92	Professional		$181.82	$191.92	$191.92
United Facility/Professional Professional Modifier Low / Median / High Price $166.67 / $202.02 / $202.02	Professional		$166.67	$202.02	$202.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $161.54 / $161.54	Professional		$161.54	$161.54	$161.54