Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $129.58 / $129.58	Facility		$129.58	$129.58	$129.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $173.64	Professional		$129.47	$129.47	$173.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.57	Professional		$129.47	$129.47	$129.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $164.90	Professional		$129.47	$129.47	$164.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $132.46	Professional		$129.47	$129.47	$132.46
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $147.18	Professional		$129.47	$129.47	$147.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $128.68 / $128.68	Professional		$128.68	$128.68	$128.68