Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $83.24 / $5,313.98	Facility		$77.48	$83.24	$5,313.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $95.26	Professional		$69.37	$69.37	$95.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $77.48 / $77.48	Professional		$69.37	$77.48	$77.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $71.98 / $95.37	Facility		$71.98	$71.98	$95.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $79.81	Professional		$69.37	$69.37	$79.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $69.37 / $78.53	Professional		$58.96	$69.37	$78.53
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $77.22 / $84.20	Professional		$69.37	$77.22	$84.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $104.61	Professional		$71.98	$71.98	$104.61