Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $470.77 / $2,271.32	Facility		$73.13	$470.77	$2,271.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $113.28 / $226.28	Professional		$62.07	$113.28	$226.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $80.58 / $92.67	Professional		$80.58	$80.58	$92.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $106.55 / $203.45	Professional		$60.88	$106.55	$203.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $120.85 / $237.98	Professional		$98.00	$120.85	$237.98
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 $91.03 / $120.38 / $232.71	Professional		$91.03	$120.38	$232.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $105.09 / $120.85	Professional		$67.73	$105.09	$120.85