Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $114.48 / $508.84	Facility		$114.48	$114.48	$508.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $112.45 / $146.53	Professional		$10.00	$112.45	$146.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $112.46 / $114.48	Professional		$112.46	$112.46	$114.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $143.22	Professional		$112.45	$112.45	$143.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $389.48	Professional		$112.45	$112.45	$389.48
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $162.21	Professional		$112.45	$112.45	$162.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $120.68 / $120.68	Professional		$120.68	$120.68	$120.68