Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $138.04 / $389.05	Facility		$47.86	$138.04	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $186.21	Professional		$47.86	$67.61	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $70.79	Professional		$52.48	$58.88	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $114.82	Professional		$35.48	$50.12	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $97.72	Professional		$66.07	$77.62	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $50.12	Facility		$27.54	$27.54	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $58.88	Professional		$27.54	$37.15	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $64.57	Professional		$32.36	$64.57	$64.57