Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $7,399.58 / $15,534.12	Facility		$74.45	$7,399.58	$15,534.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $75.09 / $123.59	Professional		$74.36	$75.09	$123.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.45 / $74.45	Professional		$74.36	$74.45	$74.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.91 / $72.91 / $85.00	Facility		$72.91	$72.91	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $87.69	Professional		$74.36	$74.36	$87.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $74.36 / $81.05	Professional		$63.21	$74.36	$81.05
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $82.17 / $88.74	Professional		$74.36	$82.17	$88.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $72.91 / $100.51	Professional		$72.91	$72.91	$100.51