Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.16 / $562.16 / $562.16	Facility		$562.16	$562.16	$562.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $323.30 / $607.77	Professional		$263.64	$323.30	$607.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $344.59 / $379.05	Professional		$295.00	$344.59	$379.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $445.00 / $453.73	Facility		$121.72	$445.00	$453.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.10 / $415.39 / $776.96	Professional		$289.10	$415.39	$776.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.49 / $467.61 / $621.52	Professional		$362.49	$467.61	$621.52
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 $242.82 / $347.11 / $635.11	Professional		$242.82	$347.11	$635.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $285.88 / $416.86 / $512.33	Professional		$285.88	$416.86	$512.33