Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $7,762.47 / $7,762.47	Facility		$162.18	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $208.93	Professional		$162.18	$162.18	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $229.09	Facility		$151.36	$151.36	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $169.82	Professional		$162.18	$162.18	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $169.82	Professional		$138.04	$162.18	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $169.82	Facility		$162.18	$162.18	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $194.98	Professional		$162.18	$173.78	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $213.80	Professional		$151.36	$151.36	$213.80