Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.06 / $167.06 / $167.06	Facility		$167.06	$167.06	$167.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $223.86	Professional		$170.48	$170.48	$223.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $45.63 / $45.63	Professional		$45.63	$45.63	$45.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $217.12	Professional		$170.48	$170.48	$217.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $170.48 / $206.92	Professional		$152.94	$170.48	$206.92
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $276.31	Professional		$170.48	$170.48	$276.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $494.16 / $494.16 / $494.16	Professional		$494.16	$494.16	$494.16