Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $152.81 / $245.59	Facility		$60.70	$152.81	$245.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $30.00 / $59.30	Professional		$12.96	$30.00	$59.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $12.35 / $15.68	Professional		$11.11	$12.35	$15.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $29.58 / $51.34	Professional		$13.30	$29.58	$51.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $40.43 / $68.13	Professional		$29.02	$40.43	$68.13
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 $24.05 / $32.20 / $65.40	Professional		$24.05	$32.20	$65.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $25.40 / $39.26	Professional		$15.16	$25.40	$39.26