Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $416.87 / $489.78	Facility		$81.28	$416.87	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $69.18 / $165.96	Professional		$29.51	$69.18	$165.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $40.74	Professional		$28.18	$32.36	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $85.11	Professional		$27.54	$51.29	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $112.20	Professional		$51.29	$67.61	$112.20
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 $26.92 / $47.86 / $85.11	Professional		$26.92	$47.86	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $60.26 / $93.33	Professional		$26.30	$60.26	$93.33