Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $363.08 / $602.56	Facility		$75.86	$363.08	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $194.98	Professional		$46.77	$77.62	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $77.62	Professional		$54.95	$63.10	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $120.23	Professional		$48.98	$66.07	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $134.90	Professional		$64.57	$79.43	$134.90
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 $46.77 / $64.57 / $117.49	Professional		$46.77	$64.57	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $109.65	Professional		$52.48	$70.79	$109.65