Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $71.65 / $4,926.85	Facility		$68.80	$71.65	$4,926.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.88 / $126.85	Professional		$68.20	$68.88	$126.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $71.65 / $71.65	Professional		$68.20	$71.65	$71.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $168.30 / $222.81	Facility		$168.30	$168.30	$222.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $80.42	Professional		$68.20	$68.20	$80.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $68.20 / $190.05	Professional		$57.97	$68.20	$190.05
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $75.92 / $89.35	Professional		$68.20	$75.92	$89.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $168.30 / $168.30	Professional		$78.43	$168.30	$168.30