Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $142.30 / $879.60	Facility		$66.20	$142.30	$879.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $108.28 / $243.09	Professional		$54.43	$108.28	$243.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $49.13 / $62.40	Professional		$49.13	$49.13	$62.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $107.59 / $180.82	Professional		$53.06	$107.59	$180.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $137.61 / $229.65	Professional		$99.51	$137.61	$229.65
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 $93.57 / $128.24 / $208.94	Professional		$93.57	$128.24	$208.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $113.41 / $134.63	Professional		$59.55	$113.41	$134.63