Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $151.51 / $286.44	Facility		$68.45	$151.51	$286.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $76.55 / $194.56	Professional		$43.78	$76.55	$194.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $45.02 / $51.90	Professional		$42.18	$45.02	$51.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $61.39	Facility		$50.00	$50.00	$61.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $89.92 / $174.77	Professional		$52.12	$89.92	$174.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $126.88 / $169.60	Professional		$98.36	$126.88	$169.60
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $93.97 / $164.87	Professional		$61.33	$93.97	$164.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $113.11 / $139.11	Professional		$69.48	$113.11	$139.11