Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.81 / $196.81 / $196.81	Facility		$196.81	$196.81	$196.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.57 / $808.81 / $1,947.09	Professional		$672.57	$808.81	$1,947.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $466.37 / $711.90 / $904.11	Professional		$466.37	$711.90	$904.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $578.40 / $641.21	Facility		$330.00	$578.40	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.54 / $962.41 / $1,934.95	Professional		$626.54	$962.41	$1,934.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.28 / $1,139.66 / $1,532.75	Professional		$879.28	$1,139.66	$1,532.75
United Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $471.00 / $802.71	Facility		$197.00	$471.00	$802.71
United Facility/Professional Professional Modifier Low / Median / High Price $598.85 / $819.28 / $1,619.67	Professional		$598.85	$819.28	$1,619.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $685.14 / $1,015.98 / $1,256.11	Professional		$685.14	$1,015.98	$1,256.11