Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $119.10 / $360.92	Facility		$26.18	$119.10	$360.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $60.07 / $94.34	Professional		$27.37	$60.07	$94.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $30.43	Professional		$23.96	$23.96	$30.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $69.68 / $115.75	Professional		$25.83	$69.68	$115.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $104.74 / $153.58	Professional		$56.00	$104.74	$153.58
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 $57.66 / $78.29 / $155.25	Professional		$57.66	$78.29	$155.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $51.64 / $105.60	Professional		$29.52	$51.64	$105.60