Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $314.88 / $4,291.21	Facility		$175.82	$314.88	$4,291.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $183.03 / $409.04	Professional		$181.21	$183.03	$409.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $175.82 / $181.22	Professional		$175.82	$175.82	$181.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $230.80	Professional		$181.22	$181.22	$230.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $230.28	Professional		$181.22	$181.22	$230.28
United Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $181.22 / $192.09	Professional		$170.35	$181.22	$192.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.84 / $173.84 / $173.84	Professional		$173.84	$173.84	$173.84