Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,967.95 / $1,967.95 / $1,967.95	Facility		$1,967.95	$1,967.95	$1,967.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $45.63 / $63.38	Professional		$39.27	$45.63	$63.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $40.46 / $51.00	Professional		$39.01	$40.46	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $53.50 / $116.73	Professional		$40.89	$53.50	$116.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $52.59 / $102.08	Professional		$45.59	$52.59	$102.08
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 $37.82 / $48.03 / $87.69	Professional		$37.82	$48.03	$87.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $47.42 / $52.59	Professional		$37.36	$47.42	$52.59