Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $407.38 / $407.38	Facility		$67.61	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $79.43	Professional		$50.12	$67.61	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $346.74	Professional		$83.18	$120.23	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $79.43 / $323.59	Professional		$42.66	$79.43	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95