Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $15,135.61 / $22,387.21	Facility		$562.34	$15,135.61	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $223.87	Professional		$41.69	$75.86	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $79.43	Professional		$42.66	$47.86	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $107.15	Professional		$40.74	$60.26	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $87.10	Professional		$42.66	$48.98	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $95.50	Professional		$39.81	$54.95	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $66.07	Professional		$39.81	$48.98	$66.07