Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $190.55 / $537.03	Facility		$104.71	$190.55	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $234.42	Professional		$93.33	$104.71	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $128.82	Professional		$102.33	$114.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $251.19	Professional		$75.86	$89.13	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $213.80	Professional		$141.25	$162.18	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $109.65	Facility		$60.26	$60.26	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $114.82	Professional		$60.26	$64.57	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79