Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $366.76 / $508.73	Facility		$98.40	$366.76	$508.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $93.06 / $194.38	Professional		$37.15	$93.06	$194.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $38.72 / $48.20	Professional		$38.72	$38.72	$48.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $89.52 / $154.90	Professional		$35.02	$89.52	$154.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $117.78 / $222.40	Professional		$87.06	$117.78	$222.40
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 $81.22 / $106.50 / $177.90	Professional		$81.22	$106.50	$177.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $87.00 / $117.78	Professional		$40.26	$87.00	$117.78