Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.34 / $172.40 / $258.60	Professional		$168.34	$172.40	$258.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $162.32 / $162.32	Professional		$162.32	$162.32	$162.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.78 / $202.82 / $233.24	Professional		$163.78	$202.82	$233.24
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $208.90	Professional		$202.82	$202.82	$208.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $169.02 / $194.37	Professional		$169.02	$169.02	$194.37