Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.60 / $230.60 / $230.60	Facility		$230.60	$230.60	$230.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.65 / $631.96 / $1,566.39	Professional		$499.65	$631.96	$1,566.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $558.66 / $578.91 / $681.33	Professional		$558.66	$578.91	$681.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.53 / $270.02 / $335.55	Facility		$229.53	$270.02	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.76 / $564.12 / $929.49	Professional		$445.76	$564.12	$929.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.60 / $603.39 / $841.47	Professional		$507.60	$603.39	$841.47
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $294.00 / $294.00	Facility		$294.00	$294.00	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.29 / $549.64 / $940.74	Professional		$455.29	$549.64	$940.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $430.19 / $542.09 / $603.39	Professional		$430.19	$542.09	$603.39