Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $407.38	Facility		$309.03	$309.03	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $549.54	Professional		$30.20	$47.86	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.98 / $5.25	Professional		$2.95	$3.98	$5.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $380.19	Professional		$190.55	$288.40	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $398.11	Professional		$223.87	$309.03	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $87.10	Professional		$44.67	$60.26	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $125.89	Professional		$87.10	$87.10	$125.89