Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $17,782.79 / $17,782.79	Facility		$208.93	$17,782.79	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $263.03	Professional		$208.93	$208.93	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $309.03	Facility		$204.17	$204.17	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $218.78	Professional		$208.93	$208.93	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $223.87	Professional		$177.83	$208.93	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $229.09	Facility		$208.93	$208.93	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $251.19	Professional		$208.93	$229.09	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $275.42	Professional		$204.17	$204.17	$275.42