Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.77 / $175.77 / $619.28	Facility		$175.77	$175.77	$619.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $48.82 / $130.81	Professional		$33.61	$48.82	$130.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $49.62 / $56.72	Professional		$42.53	$49.62	$56.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $61.99 / $121.26	Professional		$39.79	$61.99	$121.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $66.86 / $113.77	Professional		$51.65	$66.86	$113.77
United Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $59.51 / $123.72	Professional		$44.00	$59.51	$123.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $59.60 / $73.53	Professional		$48.40	$59.60	$73.53