Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $140.43 / $140.43	Facility		$140.43	$140.43	$140.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $188.18	Professional		$140.99	$140.99	$188.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $140.43 / $140.99	Professional		$140.43	$140.43	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $179.56	Professional		$140.99	$140.99	$179.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $165.98	Professional		$140.99	$140.99	$165.98
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $156.94 / $207.54	Professional		$140.99	$156.94	$207.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $136.47	Professional		$136.47	$136.47	$136.47