Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $616.60	Professional		$380.19	$436.52	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $467.74	Professional		$371.54	$416.87	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $912.01	Professional		$275.42	$323.59	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $776.25	Professional		$512.86	$602.56	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $398.11	Facility		$218.78	$218.78	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $416.87	Professional		$218.78	$234.42	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $407.38	Professional		$257.04	$407.38	$407.38