Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $189.92 / $2,390.96	Facility		$56.18	$189.92	$2,390.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $97.99 / $238.56	Professional		$44.95	$97.99	$238.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $39.39 / $50.03	Professional		$39.39	$39.39	$50.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $90.92 / $156.00	Professional		$41.88	$90.92	$156.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $115.43 / $217.51	Professional		$83.26	$115.43	$217.51
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 $76.77 / $111.22 / $185.36	Professional		$76.77	$111.22	$185.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $88.44 / $112.64	Professional		$47.87	$88.44	$112.64