Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.31 / $358.60 / $908.52	Facility		$127.31	$358.60	$908.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.58 / $434.57 / $1,058.08	Professional		$366.58	$434.57	$1,058.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $451.14 / $478.21	Professional		$380.00	$451.14	$478.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $330.00 / $339.05	Facility		$121.72	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.82 / $538.63 / $1,019.89	Professional		$376.82	$538.63	$1,019.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $462.76 / $596.96 / $788.82	Professional		$462.76	$596.96	$788.82
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 $332.14 / $501.40 / $971.62	Professional		$332.14	$501.40	$971.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.91 / $532.16 / $654.36	Professional		$389.91	$532.16	$654.36