Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $89.13 / $134.90	Facility		$69.18	$89.13	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $72.44 / $169.82	Professional		$36.31	$72.44	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $60.26	Professional		$56.23	$56.23	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $123.03	Professional		$41.69	$50.12	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $104.71	Professional		$70.79	$81.28	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $53.70	Facility		$29.51	$29.51	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $58.88	Professional		$30.90	$33.11	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90