Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.69 / $562.33 / $4,591.74	Facility		$80.69	$562.33	$4,591.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $111.34 / $272.72	Professional		$58.09	$111.34	$272.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $52.11 / $66.18	Professional		$52.11	$52.11	$66.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $108.45 / $182.33	Professional		$54.86	$108.45	$182.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $139.81 / $237.87	Professional		$101.24	$139.81	$237.87
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 $93.58 / $126.17 / $239.98	Professional		$93.58	$126.17	$239.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $113.25 / $136.97	Professional		$62.71	$113.25	$136.97