Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $229.09 / $707.95	Facility		$72.44	$229.09	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $724.44	Professional		$83.18	$102.33	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $144.54	Professional		$83.18	$97.72	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $97.72 / $102.33	Facility		$85.11	$97.72	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Professional		$85.11	$85.11	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23