Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.10 / $2,224.64 / $6,330.71	Facility		$237.10	$2,224.64	$6,330.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $270.29	Professional		$222.25	$222.25	$270.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $237.10	Professional		$222.25	$222.25	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $222.25 / $293.93	Professional		$217.25	$222.25	$293.93
United Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $266.70 / $427.88	Professional		$222.25	$266.70	$427.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $250.52 / $250.52	Professional		$250.52	$250.52	$250.52