Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $263.03	Facility		$53.70	$53.70	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $144.54 / $575.44	Professional		$53.70	$144.54	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $83.18	Professional		$58.88	$66.07	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $208.93	Professional		$54.95	$109.65	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $288.40	Professional		$117.49	$154.88	$288.40
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 $53.70 / $100.00 / $213.80	Professional		$53.70	$100.00	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $141.25 / $218.78	Professional		$52.48	$141.25	$218.78