Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $138.13 / $138.13	Facility		$138.13	$138.13	$138.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $138.13 / $161.86	Professional		$138.13	$138.13	$161.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $175.50	Professional		$137.80	$137.80	$175.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.72 / $133.19 / $172.08	Professional		$114.72	$133.19	$172.08
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $352.94	Professional		$332.96	$332.96	$352.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80