Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.68 / $682.68 / $682.68	Facility		$682.68	$682.68	$682.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.84 / $281.70 / $681.73	Professional		$222.84	$281.70	$681.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.67 / $292.63 / $325.20	Professional		$229.67	$292.63	$325.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $121.72	Facility		$50.00	$50.00	$121.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.51 / $354.54 / $667.34	Professional		$239.51	$354.54	$667.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.12 / $406.50 / $540.75	Professional		$315.12	$406.50	$540.75
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.72 / $270.38 / $536.53	Professional		$212.72	$270.38	$536.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.79 / $362.39 / $445.58	Professional		$233.79	$362.39	$445.58