Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.70 / $231.36 / $637.46	Facility		$67.70	$231.36	$637.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $86.98 / $163.72	Professional		$81.86	$86.98	$163.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.56 / $93.56 / $93.56	Professional		$93.56	$93.56	$93.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $97.21 / $157.43	Professional		$82.63	$97.21	$157.43
United Facility/Professional Facility Modifier Low / Median / High Price $85.27 / $85.27 / $85.27	Facility		$85.27	$85.27	$85.27
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $102.33	Professional		$85.27	$85.27	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.05 / $121.05 / $121.05	Professional		$121.05	$121.05	$121.05