Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $562.34	Facility		$66.07	$93.33	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $77.62 / $436.52	Professional		$25.12	$77.62	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $30.20	Professional		$21.88	$23.99	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $40.74 / $77.62	Professional		$20.42	$40.74	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $109.65	Professional		$43.65	$58.88	$109.65
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 $20.89 / $45.71 / $81.28	Professional		$20.89	$45.71	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $51.29 / $81.28	Professional		$19.05	$51.29	$81.28