Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.58 / $1,044.58 / $1,044.58	Facility		$1,044.58	$1,044.58	$1,044.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $129.55 / $132.41	Professional		$92.18	$129.55	$132.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $190.00 / $375.23	Professional		$172.73	$190.00	$375.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $122.53 / $424.94	Professional		$94.65	$122.53	$424.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $207.28 / $286.76	Professional		$172.73	$207.28	$286.76
United Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $91.67 / $157.18	Professional		$77.73	$91.67	$157.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $146.56 / $146.56	Professional		$86.37	$146.56	$146.56