Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.25 / $298.58 / $492.16	Facility		$67.25	$298.58	$492.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $57.35 / $130.44	Professional		$29.56	$57.35	$130.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $35.53 / $40.86	Professional		$31.98	$35.53	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $51.86 / $91.31	Professional		$27.51	$51.86	$91.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $68.52 / $111.78	Professional		$50.46	$68.52	$111.78
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 $43.29 / $55.87 / $109.77	Professional		$43.29	$55.87	$109.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.30 / $68.28	Professional		$31.62	$44.30	$68.28