Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $136.22 / $23,473.64	Facility		$136.22	$136.22	$23,473.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $223.42	Professional		$136.66	$136.66	$223.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.66	Professional		$136.22	$136.22	$136.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $132.91 / $135.60	Facility		$132.91	$132.91	$135.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $161.16	Professional		$136.66	$136.66	$161.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $136.66 / $143.50	Professional		$116.17	$136.66	$143.50
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $152.13 / $165.37	Professional		$136.66	$152.13	$165.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $132.91 / $183.91	Professional		$132.91	$132.91	$183.91