Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $172.55 / $46,662.12	Facility		$172.55	$172.55	$46,662.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.27 / $257.10	Professional		$173.03	$174.27	$257.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $172.55 / $173.03	Professional		$172.55	$172.55	$173.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.71 / $165.71 / $184.79	Facility		$165.71	$165.71	$184.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $204.04	Professional		$173.03	$173.03	$204.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $173.03 / $195.66	Professional		$147.08	$173.03	$195.66
United Facility/Professional Facility Modifier Low / Median / High Price $183.59 / $183.59 / $183.59	Facility		$183.59	$183.59	$183.59
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $192.62 / $209.37	Professional		$173.03	$192.62	$209.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.71 / $165.71 / $232.94	Professional		$165.71	$165.71	$232.94