Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $457.09 / $676.08	Facility		$70.79	$457.09	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $346.74	Professional		$63.10	$102.33	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $87.10	Professional		$69.18	$75.86	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $186.21	Professional		$52.48	$75.86	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $144.54	Professional		$95.50	$114.82	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $72.44	Facility		$39.81	$39.81	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $87.10	Professional		$39.81	$50.12	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18