Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $120.23 / $363.08	Facility		$26.30	$120.23	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $69.18 / $186.21	Professional		$25.12	$69.18	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.99 / $30.20	Professional		$21.38	$23.99	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $67.61 / $120.23	Professional		$25.70	$67.61	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $154.88	Professional		$56.23	$104.71	$154.88
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 $28.84 / $57.54 / $109.65	Professional		$28.84	$57.54	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $95.50 / $147.91	Professional		$26.92	$95.50	$147.91