Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $446.68	Professional		$107.15	$144.54	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $141.25 / $154.88	Professional		$33.88	$141.25	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $323.59	Professional		$100.00	$165.96	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $234.42	Professional		$128.82	$158.49	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $100.00 / $234.42	Facility		$22.39	$100.00	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $275.42	Professional		$107.15	$141.25	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $204.17	Professional		$128.82	$154.88	$204.17