Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $1,521.19 / $1,521.19	Facility		$23.50	$1,521.19	$1,521.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.46 / $35.02	Professional		$25.20	$25.46	$35.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $23.50 / $25.21	Professional		$23.50	$23.50	$25.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $30.08	Professional		$25.20	$25.20	$30.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $42.67	Professional		$21.42	$25.20	$42.67
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $28.05 / $30.59	Professional		$25.20	$28.05	$30.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $25.07 / $33.01	Professional		$25.07	$25.07	$33.01