Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.93 / $167.64 / $249.52	Facility		$147.93	$167.64	$249.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.69 / $187.93 / $480.02	Professional		$122.69	$187.93	$480.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $171.09 / $309.70	Professional		$167.89	$171.09	$309.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $249.41 / $394.47	Professional		$149.16	$249.41	$394.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.01 / $223.27 / $367.68	Professional		$167.01	$223.27	$367.68
United Facility/Professional Professional Modifier Low / Median / High Price $146.60 / $205.90 / $383.25	Professional		$146.60	$205.90	$383.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $185.97 / $265.04	Professional		$176.69	$185.97	$265.04