Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $305.12 / $2,606.98	Facility		$59.93	$305.12	$2,606.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $105.50 / $235.65	Professional		$47.95	$105.50	$235.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $45.54 / $57.84	Professional		$40.99	$45.54	$57.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $97.10 / $168.83	Professional		$49.89	$97.10	$168.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $134.58 / $224.01	Professional		$100.20	$134.58	$224.01
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 $53.50 / $102.98 / $182.43	Professional		$53.50	$102.98	$182.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $82.95 / $135.56	Professional		$57.43	$82.95	$135.56