Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $851.14	Facility		$54.95	$87.10	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $97.72 / $257.04	Professional		$46.77	$97.72	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $72.44	Professional		$56.23	$61.66	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $138.04	Professional		$53.70	$83.18	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $169.82	Professional		$87.10	$109.65	$169.82
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 $48.98 / $75.86 / $134.90	Professional		$48.98	$75.86	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $154.88	Professional		$61.66	$100.00	$154.88