Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $1,727.89	Facility		$425.00	$425.00	$1,727.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $1,139.00	Professional		$400.00	$425.00	$1,139.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $526.61 / $577.42 / $733.34	Professional		$526.61	$577.42	$733.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $137.38 / $137.38	Facility		$137.38	$137.38	$137.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.56 / $595.79 / $1,128.29	Professional		$362.56	$595.79	$1,128.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.24 / $503.30 / $804.02	Professional		$428.24	$503.30	$804.02
United Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $485.04 / $866.52	Professional		$258.95	$485.04	$866.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $439.41 / $571.23	Professional		$257.08	$439.41	$571.23