Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.01 / $220.42 / $289.26	Facility		$74.01	$220.42	$289.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $111.96 / $167.79	Professional		$75.61	$111.96	$167.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $119.80 / $135.37	Professional		$107.82	$119.80	$135.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $108.61 / $197.79	Professional		$71.20	$108.61	$197.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $142.09 / $270.64	Professional		$121.09	$142.09	$270.64
United Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $112.45 / $228.20	Professional		$53.32	$112.45	$228.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $135.32 / $140.91	Professional		$135.32	$135.32	$140.91