Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.66 / $1,832.53 / $4,613.55	Facility		$85.66	$1,832.53	$4,613.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $116.52 / $264.52	Professional		$67.94	$116.52	$264.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $64.72 / $75.54	Professional		$64.72	$64.72	$75.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $69.34 / $69.34	Facility		$69.34	$69.34	$69.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $122.52 / $276.98	Professional		$65.56	$122.52	$276.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $154.01 / $222.68	Professional		$92.69	$154.01	$222.68
United Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $140.16 / $247.57	Professional		$100.32	$140.16	$247.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $142.60 / $187.83	Professional		$51.37	$142.60	$187.83