Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.20 / $1,593.20 / $2,942.42	Facility		$1,593.20	$1,593.20	$2,942.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $45.78 / $63.30	Professional		$25.23	$45.78	$63.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $35.75	Professional		$31.09	$31.09	$35.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $52.49 / $88.83	Professional		$24.65	$52.49	$88.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $69.25 / $113.18	Professional		$51.46	$69.25	$113.18
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $57.02 / $113.11	Professional		$41.35	$57.02	$113.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $42.94 / $69.62	Professional		$28.19	$42.94	$69.62