Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $87.10 / $691.83	Facility		$75.86	$87.10	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $251.19	Professional		$75.86	$95.50	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $112.20	Professional		$87.10	$97.72	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $186.21	Professional		$70.79	$93.33	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $125.89	Professional		$70.79	$93.33	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $158.49	Facility		$67.61	$91.20	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $158.49	Professional		$72.44	$95.50	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $162.18	Professional		$102.33	$128.82	$162.18