Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $190.36 / $323.39	Facility		$99.00	$190.36	$323.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $62.18 / $122.90	Professional		$42.02	$62.18	$122.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $54.81 / $63.03	Professional		$49.33	$54.81	$63.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $66.58 / $115.11	Professional		$42.20	$66.58	$115.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $85.16 / $140.19	Professional		$69.15	$85.16	$140.19
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 $54.46 / $71.47 / $148.49	Professional		$54.46	$71.47	$148.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $55.61 / $83.09	Professional		$48.50	$55.61	$83.09