Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $57.69 / $104.47	Facility		$57.69	$57.69	$104.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $48.16 / $99.75	Professional		$28.99	$48.16	$99.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $36.79 / $42.31	Professional		$36.79	$36.79	$42.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $53.09 / $81.70	Professional		$31.47	$53.09	$81.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $68.31 / $107.08	Professional		$51.08	$68.31	$107.08
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 $35.96 / $51.79 / $98.75	Professional		$35.96	$51.79	$98.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $39.31 / $68.83	Professional		$36.53	$39.31	$68.83