Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.93 / $75.93 / $17,710.08	Facility		$75.93	$75.93	$17,710.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.95 / $124.53	Professional		$75.22	$75.95	$124.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.93 / $75.93	Professional		$75.22	$75.93	$75.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $95.83	Facility		$76.73	$76.73	$95.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $88.70	Professional		$75.22	$75.22	$88.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $75.22 / $101.47	Professional		$63.94	$75.22	$101.47
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $83.74 / $91.77	Professional		$75.22	$83.74	$91.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $76.73 / $102.51	Professional		$76.73	$76.73	$102.51