Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.26 / $1,827.26 / $1,827.26	Facility		$1,827.26	$1,827.26	$1,827.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $80.06 / $211.98	Professional		$79.09	$80.06	$211.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $115.00	Professional		$100.00	$100.00	$115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $85.51 / $136.99	Professional		$68.76	$85.51	$136.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $95.50 / $173.64	Professional		$82.48	$95.50	$173.64
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 $59.35 / $77.97 / $153.19	Professional		$59.35	$77.97	$153.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00