Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $63.66 / $177.44	Facility		$63.66	$63.66	$177.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $58.21 / $80.95	Professional		$38.59	$58.21	$80.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $38.33 / $47.96	Professional		$38.33	$38.33	$47.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $73.72 / $116.96	Professional		$42.47	$73.72	$116.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $98.24 / $143.07	Professional		$71.26	$98.24	$143.07
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 $55.62 / $73.15 / $138.34	Professional		$55.62	$73.15	$138.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $54.58 / $96.42	Professional		$48.82	$54.58	$96.42