Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $63.38 / $15,390.19	Facility		$63.38	$63.38	$15,390.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $129.84	Professional		$79.86	$79.86	$129.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $63.38 / $79.86	Professional		$63.38	$63.38	$79.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.76 / $74.76 / $134.84	Facility		$74.76	$74.76	$134.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $94.18	Professional		$79.86	$79.86	$94.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $79.86 / $139.16	Professional		$67.88	$79.86	$139.16
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $88.90 / $97.43	Professional		$79.86	$88.90	$97.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $74.76 / $104.62	Professional		$74.76	$74.76	$104.62