Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $467.74 / $2,511.89	Facility		$0.98	$467.74	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $478.63	Professional		$93.33	$169.82	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $125.89	Professional		$97.72	$109.65	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $229.09	Professional		$93.33	$125.89	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $269.15	Professional		$125.89	$154.88	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $213.80	Professional		$83.18	$120.23	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $218.78	Professional		$102.33	$141.25	$218.78