Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $478.63 / $478.63	Facility		$60.26	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $218.78	Professional		$58.88	$89.13	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $107.15	Professional		$69.18	$75.86	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $190.55	Professional		$54.95	$83.18	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $120.23	Professional		$70.79	$83.18	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $104.71	Facility		$51.29	$69.18	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $128.82	Professional		$52.48	$74.13	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $112.20	Professional		$58.88	$100.00	$112.20