Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $189.75 / $189.75	Facility		$189.75	$189.75	$189.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $254.27	Professional		$193.76	$193.76	$254.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $189.75 / $193.76	Professional		$189.75	$189.75	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $246.77	Professional		$193.76	$193.76	$246.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $201.16	Professional		$193.76	$193.76	$201.16
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $279.50	Professional		$193.76	$193.76	$279.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.31 / $186.31 / $186.31	Professional		$186.31	$186.31	$186.31