Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.86 / $778.86 / $906.61	Facility		$778.86	$778.86	$906.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $858.40 / $870.00	Professional		$754.00	$858.40	$870.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $928.00 / $928.00 / $1,057.92	Professional		$928.00	$928.00	$1,057.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.60 / $861.29 / $5,958.86	Professional		$635.60	$861.29	$5,958.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,392.00 / $1,740.00	Professional		$1,160.00	$1,392.00	$1,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $580.00 / $1,055.58	Professional		$487.20	$580.00	$1,055.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $580.00 / $580.00 / $580.00	Professional		$580.00	$580.00	$580.00