Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $126.01 / $859.42	Facility		$66.31	$126.01	$859.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $84.26 / $167.15	Professional		$48.56	$84.26	$167.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $61.82 / $71.09	Professional		$55.64	$61.82	$71.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $83.35 / $137.78	Professional		$53.87	$83.35	$137.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $104.51 / $169.12	Professional		$87.86	$104.51	$169.12
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 $64.00 / $84.58 / $152.32	Professional		$64.00	$84.58	$152.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $65.11 / $103.04	Professional		$61.96	$65.11	$103.04