Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $126.24 / $126.24	Facility		$126.24	$126.24	$126.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $13,928.00	Professional		$127.45	$127.45	$13,928.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $126.24 / $127.45	Professional		$126.24	$126.24	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $162.32	Professional		$127.45	$127.45	$162.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $193.99	Professional		$127.45	$127.45	$193.99
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $183.85	Professional		$127.45	$127.45	$183.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $133.18 / $133.18	Professional		$133.18	$133.18	$133.18