Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $370.26 / $814.43	Facility		$104.83	$370.26	$814.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $272.70 / $409.07	Professional		$256.67	$272.70	$409.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $256.67 / $256.67	Professional		$256.67	$256.67	$256.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.54 / $304.80 / $676.26	Professional		$216.54	$304.80	$676.26
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $433.35	Professional		$267.37	$267.37	$433.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $32.14 / $32.14	Professional		$32.14	$32.14	$32.14