Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.47 / $184.47 / $246.00	Facility		$184.47	$184.47	$246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $62.62 / $357.00	Professional		$30.00	$62.62	$357.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $122.38 / $122.38	Professional		$122.38	$122.38	$122.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $144.00 / $188.42	Professional		$110.00	$144.00	$188.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.26 / $146.26 / $146.26	Professional		$146.26	$146.26	$146.26
United Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $34.95 / $34.95	Professional		$34.95	$34.95	$34.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $80.31 / $80.31	Professional		$80.31	$80.31	$80.31