Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $199.53 / $724.44	Facility		$22.39	$199.53	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $41.69 / $147.91	Professional		$19.05	$41.69	$147.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.38 / $25.70	Professional		$19.50	$21.38	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $24.55 / $57.54	Professional		$10.96	$24.55	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $75.86	Professional		$42.66	$56.23	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $32.36 / $60.26	Professional		$13.49	$32.36	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $50.12 / $77.62	Professional		$23.44	$50.12	$77.62