Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $1.96 / $909.26	Facility		$1.96	$1.96	$909.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.51 / $159.40 / $433.83	Professional		$96.51	$159.40	$433.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $120.86 / $150.06	Professional		$120.86	$120.86	$150.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $163.25 / $279.56	Professional		$99.94	$163.25	$279.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.87 / $225.33 / $409.69	Professional		$164.87	$225.33	$409.69
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 $144.38 / $181.96 / $342.33	Professional		$144.38	$181.96	$342.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $147.25 / $206.20	Professional		$114.65	$147.25	$206.20