Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $977.24	Professional		$338.84	$457.09	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $489.78	Professional		$371.54	$407.38	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $1,096.48	Professional		$371.54	$501.19	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $645.65	Professional		$213.80	$245.47	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $758.58	Professional		$323.59	$446.68	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $323.59	Professional		$245.47	$295.12	$323.59