Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.04 / $132.04 / $145.24	Facility		$132.04	$132.04	$145.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $131.16 / $160.03	Professional		$131.15	$131.16	$160.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $133.66 / $136.44	Professional		$133.66	$133.66	$136.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $167.04	Professional		$131.16	$131.16	$167.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $353.25	Professional		$131.16	$131.16	$353.25
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $146.01 / $160.02	Professional		$131.16	$146.01	$160.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.01 / $117.01 / $117.01	Professional		$117.01	$117.01	$117.01