Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $25,118.86 / $46,773.51	Facility		$173.78	$25,118.86	$46,773.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $295.12	Professional		$173.78	$173.78	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $251.19	Facility		$165.96	$165.96	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Professional		$173.78	$173.78	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $194.98	Professional		$138.04	$173.78	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Facility		$173.78	$173.78	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $204.17	Professional		$173.78	$186.21	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $229.09	Professional		$165.96	$165.96	$229.09