Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $14,125.38 / $14,125.38	Facility		$75.86	$14,125.38	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $104.71	Professional		$75.86	$75.86	$104.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $97.72	Professional		$75.86	$75.86	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $87.10	Professional		$64.57	$75.86	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $91.20	Professional		$75.86	$75.86	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28