Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $17,521.99	Facility		$75.86	$75.86	$17,521.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $101.65	Professional		$75.86	$75.86	$101.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $96.61	Professional		$75.86	$75.86	$96.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $92.27	Professional		$75.86	$75.86	$92.27
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $80.41	Professional		$75.86	$75.86	$80.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $72.45	Professional		$72.45	$72.45	$72.45