Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $104.58 / $7,550.96	Facility		$104.58	$104.58	$7,550.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $90.24 / $155.82	Professional		$89.34	$90.24	$155.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $104.58 / $104.58	Professional		$89.35	$104.58	$104.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.32 / $133.32 / $137.66	Facility		$133.32	$133.32	$137.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $113.79	Professional		$89.34	$89.34	$113.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $89.34 / $125.51	Professional		$75.94	$89.34	$125.51
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $99.45 / $108.44	Professional		$89.34	$99.45	$108.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $133.32 / $141.18	Professional		$102.74	$133.32	$141.18