Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.54 / $883.54 / $883.54	Facility		$883.54	$883.54	$883.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $394.92 / $423.40	Professional		$281.33	$394.92	$423.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $367.49 / $374.61 / $393.76	Professional		$367.49	$374.61	$393.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $158.93	Facility		$50.00	$50.00	$158.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.99 / $352.16 / $582.60	Professional		$271.99	$352.16	$582.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.82 / $391.51 / $548.94	Professional		$333.82	$391.51	$548.94
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.83 / $308.94 / $573.66	Professional		$242.83	$308.94	$573.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.55 / $356.61 / $391.51	Professional		$256.55	$356.61	$391.51