Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $20,892.96 / $22,387.21	Facility		$186.21	$20,892.96	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $295.12	Professional		$186.21	$186.21	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $269.15	Facility		$181.97	$181.97	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Professional		$186.21	$186.21	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $199.53	Professional		$158.49	$186.21	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $199.53	Facility		$186.21	$186.21	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $223.87	Professional		$186.21	$204.17	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $245.47	Professional		$181.97	$181.97	$245.47