Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $5,096.52 / $10,648.28	Facility		$50.43	$5,096.52	$10,648.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $64.55	Professional		$50.74	$50.74	$64.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $50.43 / $50.74	Professional		$50.43	$50.43	$50.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $64.62	Professional		$50.74	$50.74	$64.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $103.61	Professional		$50.74	$50.74	$103.61
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $53.78 / $65.88	Professional		$50.74	$53.78	$65.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28