Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $181.97 / $28,183.83	Facility		$74.13	$181.97	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $109.65	Professional		$74.13	$74.13	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $117.49	Professional		$74.13	$74.13	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $74.13	Facility		$70.79	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $95.50	Professional		$74.13	$74.13	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $102.33	Professional		$63.10	$74.13	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $85.11	Facility		$74.13	$74.13	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $93.33	Professional		$74.13	$83.18	$93.33