Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.74 / $897.74 / $900.00	Facility		$897.74	$897.74	$900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $222.00 / $225.00	Professional		$214.18	$222.00	$225.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $270.00 / $342.90	Professional		$240.00	$270.00	$342.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $197.30 / $737.20	Professional		$158.16	$197.30	$737.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $360.00 / $464.55	Professional		$300.00	$360.00	$464.55
United Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $150.00 / $272.99	Professional		$129.00	$150.00	$272.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $238.50 / $238.50	Professional		$150.00	$238.50	$238.50