Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $257.04 / $1,230.27	Facility		$89.13	$257.04	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $141.25 / $371.54	Professional		$45.71	$141.25	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $64.57	Professional		$45.71	$51.29	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $102.33 / $186.21	Professional		$43.65	$102.33	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $257.04	Professional		$109.65	$147.91	$257.04
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 $45.71 / $104.71 / $194.98	Professional		$45.71	$104.71	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $128.82 / $204.17	Professional		$41.69	$128.82	$204.17