Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $4,673.78 / $13,673.55	Facility		$78.45	$4,673.78	$13,673.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.79 / $167.00	Professional		$79.00	$79.79	$167.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $78.45 / $78.98	Professional		$78.45	$78.45	$78.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $74.83 / $87.85	Facility		$74.83	$74.83	$87.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $93.16	Professional		$79.00	$79.00	$93.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $79.00 / $97.20	Professional		$67.15	$79.00	$97.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $87.94 / $95.59	Professional		$79.00	$87.94	$95.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $74.83 / $105.92	Professional		$74.83	$74.83	$105.92