Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $97.70 / $540.00	Facility		$97.70	$97.70	$540.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $115.61 / $1,475.59	Professional		$114.54	$115.61	$1,475.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $114.53	Professional		$97.70	$97.70	$114.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $145.87	Professional		$114.54	$114.54	$145.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $258.12	Professional		$114.54	$114.54	$258.12
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $121.41	Professional		$114.54	$114.54	$121.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $92.14 / $92.14	Professional		$92.14	$92.14	$92.14