Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $11,481.54 / $14,125.38	Facility		$186.21	$11,481.54	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $251.19	Professional		$114.82	$186.21	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $239.88	Professional		$186.21	$186.21	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $245.47	Professional		$158.49	$186.21	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $223.87	Professional		$162.18	$186.21	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18