Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $224.69 / $565.72	Facility		$65.59	$224.69	$565.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $52.53 / $141.63	Professional		$21.22	$52.53	$141.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $22.55 / $25.93	Professional		$22.55	$22.55	$25.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $46.61 / $83.46	Professional		$20.32	$46.61	$83.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $58.87 / $110.84	Professional		$43.51	$58.87	$110.84
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 $43.73 / $57.62 / $106.82	Professional		$43.73	$57.62	$106.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $46.87 / $58.87	Professional		$23.37	$46.87	$58.87