Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.08 / $354.08 / $354.08	Facility		$354.08	$354.08	$354.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.08 / $354.08 / $453.22	Professional		$354.08	$354.08	$453.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Professional		$367.96	$367.96	$367.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $468.63	Professional		$367.96	$367.96	$468.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $193.52 / $250.01	Professional		$166.68	$193.52	$250.01
United Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $357.54 / $378.99	Professional		$357.54	$357.54	$378.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Professional		$367.96	$367.96	$367.96