Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.11 / $728.00 / $5,955.74	Facility		$59.11	$728.00	$5,955.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $129.49 / $280.27	Professional		$73.67	$129.49	$280.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $79.81 / $101.37	Professional		$79.81	$79.81	$101.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $120.81 / $233.93	Professional		$70.09	$120.81	$233.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $131.81 / $267.81	Professional		$112.83	$131.81	$267.81
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 $102.44 / $137.72 / $248.34	Professional		$102.44	$137.72	$248.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $114.62 / $131.81	Professional		$78.02	$114.62	$131.81