Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $9,364.53 / $16,227.04	Facility		$63.39	$9,364.53	$16,227.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.72 / $103.96	Professional		$62.10	$62.72	$103.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $63.39 / $63.39	Professional		$62.09	$63.39	$63.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $63.88 / $78.84	Facility		$63.88	$63.88	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $73.23	Professional		$62.10	$62.10	$73.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $83.47	Professional		$52.79	$62.10	$83.47
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $69.13 / $75.76	Professional		$62.10	$69.13	$75.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $63.88 / $85.58	Professional		$63.88	$63.88	$85.58