Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.29 / $247.92 / $552.02	Facility		$78.29	$247.92	$552.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $107.85 / $286.64	Professional		$57.37	$107.85	$286.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $54.70 / $69.47	Professional		$54.70	$54.70	$69.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $113.58 / $191.52	Professional		$55.75	$113.58	$191.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $142.80 / $256.19	Professional		$103.62	$142.80	$256.19
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 $97.31 / $135.35 / $218.07	Professional		$97.31	$135.35	$218.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $121.90 / $140.19	Professional		$61.19	$121.90	$140.19