Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $676.08 / $3,388.44	Facility		$70.79	$676.08	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $302.00	Professional		$52.48	$109.65	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $83.18	Professional		$56.23	$63.10	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $190.55	Professional		$54.95	$102.33	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $251.19	Professional		$120.23	$154.88	$251.19
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 $50.12 / $85.11 / $173.78	Professional		$50.12	$85.11	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $141.25 / $218.78	Professional		$61.66	$141.25	$218.78