Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $8,160.69 / $28,060.86	Facility		$85.25	$8,160.69	$28,060.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.96 / $199.17	Professional		$85.12	$85.96	$199.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.25 / $85.25	Professional		$85.12	$85.25	$85.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.88 / $83.88 / $85.89	Facility		$83.88	$83.88	$85.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $100.38	Professional		$85.12	$85.12	$100.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $85.12 / $92.76	Professional		$72.34	$85.12	$92.76
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $94.76 / $103.00	Professional		$85.12	$94.76	$103.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $83.88 / $115.09	Professional		$83.88	$83.88	$115.09