Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.58 / $185.58 / $5,379.39	Facility		$185.58	$185.58	$5,379.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $83.91 / $428.00	Professional		$76.70	$83.91	$428.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $98.01 / $123.00	Professional		$94.05	$98.01	$123.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $110.40 / $182.94	Professional		$83.01	$110.40	$182.94
United Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $96.20 / $168.04	Professional		$71.89	$96.20	$168.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $95.46 / $119.79	Professional		$65.92	$95.46	$119.79