Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $281.84	Professional		$57.54	$75.86	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $74.13 / $83.18	Professional		$8.13	$74.13	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $158.49	Professional		$53.70	$85.11	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $144.54	Professional		$74.13	$89.13	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $53.70 / $138.04	Facility		$12.88	$53.70	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $158.49	Professional		$58.88	$75.86	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $112.20	Professional		$58.88	$89.13	$112.20