Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.76 / $113.76 / $7,655.92	Facility		$113.76	$113.76	$7,655.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $120.51 / $161.57	Professional		$113.76	$120.51	$161.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $156.93 / $156.93 / $260.00	Professional		$156.93	$156.93	$260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $186.84 / $339.36	Professional		$102.37	$186.84	$339.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.33 / $172.00 / $296.29	Professional		$133.33	$172.00	$296.29
United Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $158.85 / $257.29	Professional		$118.31	$158.85	$257.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.33 / $153.33 / $185.13	Professional		$133.33	$153.33	$185.13