Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $2,099.50 / $2,699.30	Facility		$150.33	$2,099.50	$2,699.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $541.29	Professional		$151.16	$151.16	$541.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $98.29 / $98.29	Professional		$98.29	$98.29	$98.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Facility		$151.16	$151.16	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $192.52	Professional		$151.16	$151.16	$192.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $151.16 / $344.56	Professional		$128.49	$151.16	$344.56
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $159.47	Professional		$151.16	$151.16	$159.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $158.33 / $198.03	Professional		$158.33	$158.33	$198.03