Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $168.13 / $168.13	Facility		$168.13	$168.13	$168.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $5,588.57	Professional		$164.59	$164.59	$5,588.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $168.13	Professional		$164.59	$164.59	$168.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $209.62	Professional		$164.59	$164.59	$209.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $210.36	Professional		$164.59	$164.59	$210.36
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $174.47	Professional		$164.59	$164.59	$174.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $165.89 / $165.89	Professional		$165.89	$165.89	$165.89