Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $128.82	Professional		$89.13	$104.71	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $125.89	Professional		$97.72	$109.65	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $87.10	Professional		$72.44	$72.44	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $181.97	Professional		$123.03	$141.25	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $93.33	Facility		$51.29	$51.29	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $109.65	Professional		$51.29	$66.07	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66