Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.94 / $4,335.72 / $15,876.07	Facility		$171.94	$4,335.72	$15,876.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $220.08	Professional		$172.22	$172.22	$220.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $171.94 / $172.22	Professional		$171.94	$171.94	$172.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $219.34	Professional		$172.22	$172.22	$219.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $238.96	Professional		$172.22	$172.22	$238.96
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $248.43	Professional		$172.22	$172.22	$248.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.43 / $162.43 / $162.43	Professional		$162.43	$162.43	$162.43