Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.92 / $710.92 / $710.92	Facility		$710.92	$710.92	$710.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $156.78 / $217.30	Professional		$84.50	$156.78	$217.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $110.00 / $133.10	Professional		$99.00	$110.00	$133.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $236.10 / $523.70	Professional		$141.88	$236.10	$523.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.02 / $242.03 / $321.35	Professional		$165.02	$242.03	$321.35
United Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $105.17 / $197.44	Professional		$71.25	$105.17	$197.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50