Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $73.16 / $73.16	Facility		$73.16	$73.16	$73.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $76.65 / $6,490.80	Professional		$75.90	$76.65	$6,490.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $73.16 / $75.91	Professional		$73.16	$73.16	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $96.67	Professional		$75.91	$75.91	$96.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $85.21	Professional		$75.91	$75.91	$85.21
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $80.45	Professional		$75.91	$75.91	$80.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $70.89 / $70.89	Professional		$70.89	$70.89	$70.89