Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.84 / $419.37 / $2,579.91	Facility		$104.84	$419.37	$2,579.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $130.43 / $258.61	Professional		$89.97	$130.43	$258.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $108.53 / $124.81	Professional		$97.67	$108.53	$124.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $127.05 / $206.88	Professional		$95.82	$127.05	$206.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $156.88 / $243.71	Professional		$132.15	$156.88	$243.71
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $121.19 / $234.16	Professional		$85.41	$121.19	$234.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $119.50 / $152.47	Professional		$93.07	$119.50	$152.47