Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $134.90	Facility		$87.10	$91.20	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $81.28 / $295.12	Professional		$26.92	$81.28	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $35.48	Professional		$25.12	$28.18	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $48.98 / $89.13	Professional		$23.99	$48.98	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $125.89	Professional		$54.95	$72.44	$125.89
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 $24.55 / $51.29 / $95.50	Professional		$24.55	$51.29	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $64.57 / $100.00	Professional		$23.44	$64.57	$100.00