Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $216.74 / $41,445.03	Facility		$216.74	$216.74	$41,445.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $260.27	Professional		$216.90	$216.90	$260.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $216.74 / $216.91	Professional		$216.74	$216.74	$216.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.42 / $212.42 / $212.42	Facility		$212.42	$212.42	$212.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $255.78	Professional		$216.90	$216.90	$255.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $216.90 / $229.41	Professional		$184.37	$216.90	$229.41
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $241.46 / $258.11	Professional		$216.90	$241.46	$258.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $212.12 / $292.60	Professional		$212.12	$212.12	$292.60