Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $53.87 / $7,163.10	Facility		$53.87	$53.87	$7,163.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $68.95	Professional		$53.87	$53.87	$68.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $22.60 / $22.60	Professional		$22.60	$22.60	$22.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $10.55 / $57.39	Professional		$7.32	$10.55	$57.39
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $52.82 / $55.99	Professional		$52.82	$52.82	$55.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $24.13 / $24.13	Professional		$24.13	$24.13	$24.13