Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $131.75 / $401.17	Facility		$78.20	$131.75	$401.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $108.89 / $178.58	Professional		$65.00	$108.89	$178.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $185.85	Professional		$150.00	$150.00	$185.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $200.50 / $405.52	Professional		$139.47	$200.50	$405.52
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $649.96	Professional		$450.58	$450.58	$649.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $121.69 / $121.69	Professional		$121.69	$121.69	$121.69