Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.60 / $298.48 / $298.48	Facility		$53.60	$298.48	$298.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $82.89 / $170.15	Professional		$43.49	$82.89	$170.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $52.42 / $60.28	Professional		$50.90	$52.42	$60.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $98.37 / $187.79	Professional		$48.04	$98.37	$187.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $141.28 / $249.15	Professional		$105.60	$141.28	$249.15
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 $49.79 / $107.82 / $201.29	Professional		$49.79	$107.82	$201.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $96.21 / $142.88	Professional		$55.37	$96.21	$142.88