Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $645.65	Facility		$616.60	$616.60	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $70.79	Professional		$42.66	$51.29	$70.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $46.77 / $57.54	Professional		$19.95	$46.77	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Professional		$66.07	$66.07	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $112.20	Professional		$57.54	$63.10	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $27.54 / $43.65	Facility		$24.55	$27.54	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $52.48	Professional		$26.30	$34.67	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $57.54 / $87.10	Professional		$22.39	$57.54	$87.10