Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $462.77 / $777.96	Facility		$45.00	$462.77	$777.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $77.93 / $145.26	Professional		$24.75	$77.93	$145.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $30.47 / $38.70	Professional		$27.43	$30.47	$38.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $66.56 / $112.11	Professional		$23.06	$66.56	$112.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $118.67 / $223.76	Professional		$87.71	$118.67	$223.76
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $94.30 / $116.08	Professional		$50.44	$94.30	$116.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $59.82 / $118.67	Professional		$37.08	$59.82	$118.67