Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.28 / $2,354.69 / $4,843.95	Facility		$205.28	$2,354.69	$4,843.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $206.65 / $305.87	Professional		$204.61	$206.65	$305.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $205.28 / $205.62	Professional		$204.61	$205.28	$205.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.06 / $200.06 / $204.61	Facility		$200.06	$200.06	$204.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $204.61 / $204.61	Professional		$200.06	$204.61	$204.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.35 / $204.61 / $211.90	Professional		$188.35	$204.61	$211.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $214.84	Professional		$81.84	$204.61	$214.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.38 / $205.56 / $206.14	Professional		$170.38	$205.56	$206.14