Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1,212.46 / $3,057.46	Facility		$0.99	$1,212.46	$3,057.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.64 / $166.64 / $446.59	Professional		$114.64	$166.64	$446.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $140.13 / $160.16	Professional		$107.50	$140.13	$160.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $133.36 / $133.36	Facility		$133.36	$133.36	$133.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $197.40 / $436.67	Professional		$126.38	$197.40	$436.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.63 / $256.23 / $426.09	Professional		$198.63	$256.23	$426.09
United Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $181.55 / $331.17	Professional		$118.18	$181.55	$331.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $228.42 / $281.66	Professional		$127.67	$228.42	$281.66