Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Facility		$91.11	$91.11	$91.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $87.25 / $1,550.46	Professional		$86.37	$87.25	$1,550.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $91.11	Professional		$86.38	$86.38	$91.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $110.02	Professional		$86.38	$86.38	$110.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $421.62	Professional		$86.38	$86.38	$421.62
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $140.53	Professional		$86.38	$86.38	$140.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $123.98 / $123.98	Professional		$123.98	$123.98	$123.98