Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $365.12 / $45,318.88	Facility		$183.41	$365.12	$45,318.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $183.48 / $251.97	Professional		$183.47	$183.48	$251.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.41 / $183.48	Professional		$183.41	$183.41	$183.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.05 / $180.05 / $181.09	Facility		$180.05	$180.05	$181.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $216.37	Professional		$183.48	$183.48	$216.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $183.48 / $195.58	Professional		$155.96	$183.48	$195.58
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $204.25 / $222.71	Professional		$183.48	$204.25	$222.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $180.05 / $247.60	Professional		$180.05	$180.05	$247.60