Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $137.19 / $4,477.43	Facility		$137.19	$137.19	$4,477.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $156.47	Professional		$134.88	$134.88	$156.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $126.01 / $126.01	Professional		$126.01	$126.01	$126.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $171.79	Professional		$134.88	$134.88	$171.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.91 / $134.88 / $176.56	Professional		$107.91	$134.88	$176.56
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $141.69	Professional		$134.88	$134.88	$141.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $143.41 / $176.71	Professional		$143.41	$143.41	$176.71