Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.67 / $113.50 / $659.99	Facility		$75.67	$113.50	$659.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $76.70 / $129.69	Professional		$51.13	$76.70	$129.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $112.49 / $202.39	Professional		$102.26	$112.49	$202.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $72.77 / $351.16	Professional		$54.20	$72.77	$351.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $122.71 / $153.38	Professional		$102.26	$122.71	$153.38
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $46.02 / $93.05	Professional		$42.95	$46.02	$93.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $51.13 / $51.13	Professional		$51.13	$51.13	$51.13