Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $59.81 / $2,201.46	Facility		$59.81	$59.81	$2,201.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $68.66	Professional		$62.41	$62.41	$68.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $82.88 / $82.88	Professional		$82.88	$82.88	$82.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $82.88	Facility		$62.41	$62.41	$82.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $79.48	Professional		$62.41	$62.41	$79.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $62.41 / $83.43	Professional		$53.05	$62.41	$83.43
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $65.84	Professional		$62.41	$62.41	$65.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $62.41 / $81.76	Professional		$59.81	$62.41	$81.76