Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $1,318.26	Professional		$323.59	$512.86	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $537.03	Professional		$363.08	$426.58	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $457.09	Facility		$446.68	$446.68	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,096.48	Professional		$363.08	$549.54	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $1,000.00	Professional		$575.44	$660.69	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $524.81 / $741.31	Facility		$338.84	$524.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $933.25	Professional		$331.13	$512.86	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $851.14	Professional		$457.09	$660.69	$851.14