Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $97.43 / $3,761.74	Facility		$48.03	$97.43	$3,761.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $61.48	Professional		$48.96	$48.96	$61.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $48.03 / $48.96	Professional		$48.03	$48.03	$48.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $62.36	Professional		$48.96	$48.96	$62.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $92.96	Professional		$48.96	$48.96	$92.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $56.58	Professional		$48.96	$48.96	$56.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $49.01 / $49.01	Professional		$49.01	$49.01	$49.01