Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $181.76 / $18,545.62	Facility		$91.02	$181.76	$18,545.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $92.25 / $169.89	Professional		$91.34	$92.25	$169.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $91.02 / $91.34	Professional		$91.02	$91.02	$91.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.22 / $88.22 / $95.64	Facility		$88.22	$88.22	$95.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $107.71	Professional		$91.34	$91.34	$107.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $91.34 / $104.33	Professional		$77.64	$91.34	$104.33
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $101.68 / $109.01	Professional		$91.34	$101.68	$109.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $88.22 / $122.88	Professional		$88.22	$88.22	$122.88