Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $194.98 / $891.25	Facility		$28.18	$194.98	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $72.44 / $204.17	Professional		$19.95	$72.44	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $23.44	Professional		$16.60	$18.62	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $56.23 / $109.65	Professional		$19.95	$56.23	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $138.04	Professional		$47.86	$95.50	$138.04
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 $22.39 / $46.77 / $100.00	Professional		$22.39	$46.77	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $87.10 / $134.90	Professional		$20.89	$87.10	$134.90