Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.65 / $449.65 / $449.65	Facility		$449.65	$449.65	$449.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.93 / $493.35 / $620.52	Professional		$402.93	$493.35	$620.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $75.56 / $610.75	Professional		$72.00	$75.56	$610.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $91.90 / $91.90	Facility		$91.90	$91.90	$91.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $84.23 / $159.85	Professional		$55.32	$84.23	$159.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $93.22 / $278.08	Professional		$72.26	$93.22	$278.08
United Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $444.62 / $859.50	Professional		$60.59	$444.62	$859.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $620.28 / $845.84	Professional		$59.54	$620.28	$845.84