Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $128.82	Professional		$41.69	$64.57	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $51.29	Professional		$41.69	$45.71	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $112.20	Professional		$37.15	$56.23	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $120.23	Professional		$58.88	$74.13	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Facility		$89.13	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $91.20	Professional		$34.67	$50.12	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $93.33	Professional		$41.69	$67.61	$93.33