Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $295.12	Facility		$53.70	$53.70	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $131.83 / $436.52	Professional		$47.86	$131.83	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $74.13	Professional		$50.12	$56.23	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $181.97	Professional		$47.86	$95.50	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $251.19	Professional		$104.71	$134.90	$251.19
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 / $83.18 / $186.21	Professional		$45.71	$83.18	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $123.03 / $194.98	Professional		$45.71	$123.03	$194.98