Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $85.11	Professional		$56.23	$66.07	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $457.09 / $562.34	Professional		$21.88	$457.09	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $144.54	Professional		$56.23	$85.11	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $154.88	Professional		$70.79	$85.11	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $87.10 / $165.96	Facility		$17.38	$87.10	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $204.17	Professional		$79.43	$100.00	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28