Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $283.80 / $899.90	Facility		$88.50	$283.80	$899.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $50.90 / $102.06	Professional		$21.20	$50.90	$102.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.55 / $23.56	Professional		$18.23	$18.55	$23.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $56.70 / $105.12	Professional		$20.30	$56.70	$105.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $96.45 / $139.13	Professional		$47.79	$96.45	$139.13
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 $47.90 / $71.62 / $139.05	Professional		$47.90	$71.62	$139.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $46.19 / $97.11	Professional		$23.23	$46.19	$97.11