Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $501.19	Facility		$407.38	$416.87	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $549.54	Professional		$416.87	$416.87	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $537.03	Professional		$331.13	$331.13	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $630.96	Professional		$416.87	$478.63	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $316.23	Facility		$173.78	$173.78	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $338.84	Professional		$173.78	$186.21	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $416.87 / $416.87	Professional		$208.93	$416.87	$416.87