Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $20,417.38 / $20,417.38	Facility		$194.98	$20,417.38	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $257.04	Professional		$194.98	$194.98	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Professional		$194.98	$194.98	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $239.88	Professional		$165.96	$194.98	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $208.93	Facility		$194.98	$194.98	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $229.09	Professional		$194.98	$208.93	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $257.04	Professional		$181.97	$181.97	$257.04