Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $22,082.34	Facility		$248.50	$248.50	$22,082.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $370.27	Professional		$248.50	$248.50	$370.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Professional		$248.50	$248.50	$248.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.32 / $243.32 / $243.63	Facility		$243.32	$243.32	$243.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $293.04	Professional		$248.50	$248.50	$293.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.23 / $248.50 / $260.93	Professional		$211.23	$248.50	$260.93
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $276.63 / $300.69	Professional		$248.50	$276.63	$300.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.32 / $243.32 / $335.48	Professional		$243.32	$243.32	$335.48