Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.99 / $220.77 / $1,143.30	Facility		$44.99	$220.77	$1,143.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $78.89 / $190.22	Professional		$32.59	$78.89	$190.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $39.67 / $45.62	Professional		$35.70	$39.67	$45.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $75.20 / $134.09	Professional		$35.54	$75.20	$134.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $100.49 / $170.36	Professional		$66.72	$100.49	$170.36
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 $59.25 / $84.61 / $178.00	Professional		$59.25	$84.61	$178.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $63.15 / $101.37	Professional		$41.33	$63.15	$101.37