Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $303.77 / $3,116.46	Facility		$46.62	$303.77	$3,116.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $152.65 / $306.94	Professional		$82.73	$152.65	$306.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $98.07 / $112.78	Professional		$88.26	$98.07	$112.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $149.02 / $256.45	Professional		$101.06	$149.02	$256.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $178.99 / $315.76	Professional		$156.62	$178.99	$315.76
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 $96.82 / $146.09 / $284.91	Professional		$96.82	$146.09	$284.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.94 / $121.33 / $181.11	Professional		$117.94	$121.33	$181.11