Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.60 / $265.11 / $320.52	Facility		$53.60	$265.11	$320.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $96.53 / $168.66	Professional		$54.18	$96.53	$168.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $61.61 / $70.84	Professional		$61.61	$61.61	$70.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $112.28 / $215.98	Professional		$55.85	$112.28	$215.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.72 / $160.13 / $291.74	Professional		$119.72	$160.13	$291.74
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 $89.28 / $135.62 / $326.23	Professional		$89.28	$135.62	$326.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $113.42 / $161.97	Professional		$64.34	$113.42	$161.97