Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.54 / $492.54 / $492.54	Facility		$492.54	$492.54	$492.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $241.02 / $577.96	Professional		$118.47	$241.02	$577.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $140.78 / $165.85	Professional		$104.51	$140.78	$165.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.50 / $212.50 / $212.50	Facility		$212.50	$212.50	$212.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $264.60 / $504.74	Professional		$124.64	$264.60	$504.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.72 / $354.70 / $637.88	Professional		$233.72	$354.70	$637.88
United Facility/Professional Professional Modifier Low / Median / High Price $195.89 / $297.37 / $620.97	Professional		$195.89	$297.37	$620.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.22 / $316.20 / $389.70	Professional		$185.22	$316.20	$389.70