Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $5,495.41	Facility		$45.71	$45.71	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $8,128.31	Professional		$44.67	$50.12	$8,128.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $57.54	Professional		$45.71	$45.71	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $56.23	Professional		$38.90	$45.71	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $45.71 / $54.95	Professional		$39.81	$45.71	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02