Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,077.79 / $3,077.79 / $3,077.79	Facility		$3,077.79	$3,077.79	$3,077.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $124.10 / $248.15	Professional		$22.55	$124.10	$248.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $28.69 / $46.76	Professional		$22.47	$28.69	$46.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $32.03	Facility		$32.03	$32.03	$32.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $147.59 / $340.94	Professional		$22.96	$147.59	$340.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.78 / $190.27 / $378.24	Professional		$134.78	$190.27	$378.24
United Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $223.60 / $348.36	Professional		$168.13	$223.60	$348.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $182.34 / $224.06	Professional		$158.56	$182.34	$224.06