Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $426.58 / $616.60	Facility		$51.29	$426.58	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $154.88	Professional		$52.48	$64.57	$154.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $75.86	Professional		$60.26	$66.07	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $125.89	Professional		$47.86	$63.10	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $87.10	Professional		$48.98	$64.57	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $109.65	Facility		$46.77	$63.10	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $107.15	Professional		$48.98	$66.07	$107.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $87.10 / $112.20	Professional		$36.31	$87.10	$112.20