Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $239.27	Professional		$186.93	$186.93	$239.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $175.94 / $175.94	Professional		$175.94	$175.94	$175.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $14.17 / $18.30	Professional		$12.20	$14.17	$18.30
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $194.26	Professional		$183.26	$183.26	$194.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $6.33 / $6.33	Professional		$6.33	$6.33	$6.33