Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $56.23 / $575.44	Facility		$47.86	$56.23	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $58.88 / $173.78	Professional		$14.13	$58.88	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $16.98	Professional		$12.02	$13.49	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $44.67 / $93.33	Professional		$14.13	$44.67	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $83.18 / $117.49	Professional		$36.31	$83.18	$117.49
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 $15.49 / $34.67 / $83.18	Professional		$15.49	$34.67	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $74.13 / $117.49	Professional		$14.79	$74.13	$117.49