Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $141.00 / $141.00	Facility		$141.00	$141.00	$141.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $188.94	Professional		$141.60	$141.60	$188.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.00 / $141.61	Professional		$141.00	$141.00	$141.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $180.34	Professional		$141.60	$141.60	$180.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $154.74	Professional		$141.60	$141.60	$154.74
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $169.83	Professional		$141.60	$141.60	$169.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $135.88 / $135.88	Professional		$135.88	$135.88	$135.88