Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $7,585.78	Facility		$141.25	$141.25	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $177.83	Professional		$138.04	$141.25	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $204.17	Facility		$134.90	$134.90	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $144.54	Professional		$141.25	$141.25	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $144.54	Professional		$112.20	$141.25	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $151.36	Facility		$141.25	$141.25	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $165.96	Professional		$141.25	$151.36	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $181.97	Professional		$134.90	$134.90	$181.97