Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.24 / $308.87 / $640.32	Facility		$118.24	$308.87	$640.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $124.59 / $164.80	Professional		$123.35	$124.59	$164.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $135.97	Professional		$123.36	$123.36	$135.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $157.11	Professional		$123.36	$123.36	$157.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $125.41	Professional		$123.36	$123.36	$125.41
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $130.76	Professional		$123.36	$123.36	$130.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $114.39 / $114.39	Professional		$114.39	$114.39	$114.39