Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $78.43 / $14,140.80	Facility		$78.43	$78.43	$14,140.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $105.10	Professional		$78.93	$78.93	$105.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $78.43 / $78.94	Professional		$78.43	$78.43	$78.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $100.53	Professional		$78.93	$78.93	$100.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $86.40	Professional		$78.93	$78.93	$86.40
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $83.67	Professional		$78.93	$78.93	$83.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Professional		$80.45	$80.45	$80.45