Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $2,469.44 / $6,151.40	Facility		$103.71	$2,469.44	$6,151.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $99.13 / $125.69	Professional		$99.12	$99.13	$125.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $100.81 / $104.81	Professional		$100.81	$100.81	$104.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $126.25	Professional		$99.13	$99.13	$126.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $281.82	Professional		$99.13	$99.13	$281.82
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $110.35 / $145.60	Professional		$99.13	$110.35	$145.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $125.30 / $125.30	Professional		$125.30	$125.30	$125.30