Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.47 / $119.47 / $818.22	Facility		$119.47	$119.47	$818.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $160.09	Professional		$25.33	$25.33	$160.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $119.47	Professional		$25.33	$25.33	$119.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $32.26	Professional		$25.33	$25.33	$32.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $82.61	Professional		$25.33	$25.33	$82.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $27.98 / $30.90	Professional		$25.33	$27.98	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $37.08 / $37.08	Professional		$37.08	$37.08	$37.08