Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $87.10 / $309.03	Facility		$48.98	$87.10	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $363.08	Professional		$47.86	$63.10	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $66.07	Professional		$52.48	$58.88	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $128.82	Professional		$39.81	$47.86	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $109.65	Professional		$74.13	$87.10	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $56.23	Facility		$30.90	$30.90	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $63.10	Professional		$30.90	$36.31	$63.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $60.26	Professional		$36.31	$60.26	$60.26