Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $588.58 / $678.04	Facility		$20.00	$588.58	$678.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $93.03 / $156.54	Professional		$76.59	$93.03	$156.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $97.75 / $119.25	Professional		$87.98	$97.75	$119.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $91.47 / $174.62	Professional		$70.05	$91.47	$174.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $93.24 / $136.76	Professional		$66.84	$93.24	$136.76
United Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $94.85 / $155.79	Professional		$75.11	$94.85	$155.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.83 / $118.25 / $150.27	Professional		$102.83	$118.25	$150.27