Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $130.87 / $360.92	Facility		$47.87	$130.87	$360.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $42.67 / $94.24	Professional		$15.39	$42.67	$94.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $17.13	Professional		$13.49	$13.49	$17.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $44.57 / $90.85	Professional		$14.21	$44.57	$90.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $83.39 / $117.10	Professional		$36.61	$83.39	$117.10
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 $37.78 / $61.06 / $118.02	Professional		$37.78	$61.06	$118.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $37.89 / $83.71	Professional		$16.18	$37.89	$83.71