Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.81 / $194.32 / $257.07	Facility		$100.81	$194.32	$257.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.03 / $294.69 / $294.69	Professional		$204.03	$294.69	$294.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $194.32 / $294.69	Professional		$194.32	$194.32	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $375.31	Professional		$294.69	$294.69	$375.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $402.63	Professional		$294.69	$294.69	$402.63
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $312.37	Professional		$294.69	$294.69	$312.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $183.03 / $183.03	Professional		$183.03	$183.03	$183.03