Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $54.11 / $712.74	Facility		$22.60	$54.11	$712.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $26.26 / $119.65	Professional		$11.59	$26.26	$119.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $21.48 / $27.28	Professional		$19.32	$21.48	$27.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $29.42 / $85.75	Professional		$15.20	$29.42	$85.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $53.08 / $98.88	Professional		$39.24	$53.08	$98.88
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 $28.37 / $50.98 / $66.06	Professional		$28.37	$50.98	$66.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $25.68 / $53.08	Professional		$25.54	$25.68	$53.08