Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $154.88 / $302.00	Facility		$60.26	$154.88	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $257.04	Professional		$83.18	$100.00	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $104.71	Professional		$47.86	$69.18	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $117.49	Professional		$95.50	$109.65	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33