Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.80 / $92.80 / $92.80	Facility		$92.80	$92.80	$92.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.59 / $699.08 / $798.36	Professional		$590.59	$699.08	$798.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $775.62 / $837.81	Professional		$585.00	$775.62	$837.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,134.73	Facility		$507.00	$518.54	$1,134.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.04 / $857.11 / $1,596.86	Professional		$526.04	$857.11	$1,596.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.90 / $949.31 / $1,240.94	Professional		$735.90	$949.31	$1,240.94
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.71 / $695.31 / $1,348.91	Professional		$393.71	$695.31	$1,348.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $567.77 / $846.28 / $1,043.04	Professional		$567.77	$846.28	$1,043.04