Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.62 / $314.51 / $2,623.62	Facility		$57.62	$314.51	$2,623.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $86.79 / $207.52	Professional		$61.28	$86.79	$207.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $80.97 / $93.12	Professional		$72.88	$80.97	$93.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.39 / $90.90 / $150.36	Professional		$69.39	$90.90	$150.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $114.32 / $182.42	Professional		$96.04	$114.32	$182.42
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 $65.88 / $87.42 / $166.31	Professional		$65.88	$87.42	$166.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $86.20 / $110.80	Professional		$70.39	$86.20	$110.80