Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $67.61 / $87.10	Facility		$51.29	$67.61	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $380.19	Professional		$64.57	$83.18	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $97.72	Professional		$77.62	$85.11	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $141.25	Professional		$67.61	$91.20	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $102.33	Professional		$56.23	$75.86	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $128.82	Facility		$63.10	$85.11	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $154.88	Professional		$67.61	$95.50	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $131.83	Professional		$75.86	$102.33	$131.83