Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $741.31	Professional		$218.78	$316.23	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $380.19	Professional		$213.80	$239.88	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $616.60 / $724.44	Facility		$512.86	$616.60	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $537.03	Professional		$223.87	$323.59	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $489.78	Professional		$257.04	$346.74	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $524.81	Professional		$204.17	$302.00	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $467.74	Professional		$239.88	$371.54	$467.74