Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Facility		$425.00	$425.00	$425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.99 / $425.00 / $1,664.12	Professional		$363.99	$425.00	$1,664.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $506.90 / $568.78 / $722.35	Professional		$506.90	$568.78	$722.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $639.90 / $639.90 / $639.90	Facility		$639.90	$639.90	$639.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.35 / $567.60 / $963.29	Professional		$308.35	$567.60	$963.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.21 / $442.74 / $748.90	Professional		$343.21	$442.74	$748.90
United Facility/Professional Professional Modifier Low / Median / High Price $300.08 / $482.02 / $1,142.19	Professional		$300.08	$482.02	$1,142.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $274.57 / $374.45 / $486.79	Professional		$274.57	$374.45	$486.79