Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $128.82 / $1,905.46	Facility		$44.67	$128.82	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $446.68	Professional		$79.43	$169.82	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $151.36	Professional		$102.33	$114.82	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $257.04	Professional		$100.00	$147.91	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $316.23	Professional		$151.36	$186.21	$316.23
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 $89.13 / $134.90 / $251.19	Professional		$89.13	$134.90	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $257.04	Professional		$104.71	$165.96	$257.04