Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $177.83 / $177.83	Facility		$63.10	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $177.83	Professional		$38.90	$66.07	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $46.77	Professional		$35.48	$38.90	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $117.49	Professional		$42.66	$69.18	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $144.54	Professional		$81.28	$104.71	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $117.49	Professional		$40.74	$64.57	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $95.50 / $147.91	Professional		$45.71	$95.50	$147.91