Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $4,989.33 / $9,796.08	Facility		$55.09	$4,989.33	$9,796.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $90.35	Professional		$55.65	$56.20	$90.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $55.65	Professional		$55.09	$55.09	$55.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $51.97 / $85.00	Facility		$51.97	$51.97	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $65.62	Professional		$55.65	$55.65	$65.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $55.65 / $63.69	Professional		$47.30	$55.65	$63.69
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $61.95 / $67.55	Professional		$55.65	$61.95	$67.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $51.97 / $74.37	Professional		$51.97	$51.97	$74.37