Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $81.28	Facility		$44.67	$58.88	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $123.03	Professional		$54.95	$74.13	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $87.10	Professional		$67.61	$75.86	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $128.82	Professional		$60.26	$83.18	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $89.13	Professional		$50.12	$66.07	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $138.04	Facility		$56.23	$77.62	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $144.54	Professional		$64.57	$89.13	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $117.49	Professional		$77.62	$109.65	$117.49