Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $137.72 / $176.28	Professional		$134.47	$137.72	$176.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $129.61 / $129.61	Professional		$129.61	$129.61	$129.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $130.83 / $153.91	Professional		$23.71	$130.83	$153.91
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $163.16	Professional		$153.91	$153.91	$163.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $5.72 / $5.72	Professional		$5.72	$5.72	$5.72