Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $148.10 / $1,327.54	Facility		$1.96	$148.10	$1,327.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $108.75 / $243.50	Professional		$72.81	$108.75	$243.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $73.33 / $93.13	Professional		$73.33	$73.33	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $124.07 / $220.80	Professional		$78.55	$124.07	$220.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $148.10 / $272.97	Professional		$126.45	$148.10	$272.97
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 $92.91 / $129.62 / $246.60	Professional		$92.91	$129.62	$246.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $106.18 / $149.88	Professional		$88.01	$106.18	$149.88