Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $79.39 / $25,513.42	Facility		$79.39	$79.39	$25,513.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $106.38	Professional		$79.26	$79.26	$106.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.38	Professional		$79.26	$79.26	$79.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $100.94	Professional		$79.26	$79.26	$100.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $82.58	Professional		$79.26	$79.26	$82.58
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $84.02	Professional		$79.26	$79.26	$84.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $77.13 / $77.13	Professional		$77.13	$77.13	$77.13