Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $191.29	Professional		$182.18	$182.18	$191.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.38 / $380.38 / $380.38	Professional		$380.38	$380.38	$380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $232.02	Professional		$182.18	$182.18	$232.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.74 / $182.18 / $504.87	Professional		$145.74	$182.18	$504.87
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $193.11	Professional		$182.18	$182.18	$193.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $238.66	Professional		$182.18	$182.18	$238.66