Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.58 / $321.58 / $321.58	Facility		$321.58	$321.58	$321.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.58 / $443.79 / $443.79	Professional		$321.58	$443.79	$443.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $523.54 / $523.54 / $1,621.71	Professional		$523.54	$523.54	$1,621.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.73 / $1,357.55 / $2,189.02	Professional		$410.73	$1,357.55	$2,189.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.06 / $469.64 / $804.22	Professional		$364.06	$469.64	$804.22
United Facility/Professional Professional Modifier Low / Median / High Price $305.04 / $415.50 / $657.54	Professional		$305.04	$415.50	$657.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $305.05 / $305.05 / $305.05	Professional		$305.05	$305.05	$305.05