Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $163.21 / $7,700.92	Facility		$163.21	$163.21	$7,700.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $235.02	Professional		$164.25	$164.25	$235.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $163.21 / $164.26	Professional		$163.21	$163.21	$164.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.51 / $152.51 / $161.94	Facility		$152.51	$152.51	$161.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $193.69	Professional		$164.25	$164.25	$193.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $164.25 / $171.64	Professional		$139.61	$164.25	$171.64
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $182.84 / $196.02	Professional		$164.25	$182.84	$196.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $152.51 / $220.33	Professional		$152.51	$152.51	$220.33