Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.70 / $910.85 / $2,685.64	Facility		$561.70	$910.85	$2,685.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.62 / $570.79 / $786.45	Professional		$544.62	$570.79	$786.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $607.24 / $683.15 / $867.60	Professional		$607.24	$683.15	$867.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.30 / $530.40 / $982.26	Facility		$402.30	$530.40	$982.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.30 / $539.60 / $1,865.54	Professional		$402.30	$539.60	$1,865.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $948.81 / $1,138.58	Professional		$759.05	$948.81	$1,138.58
United Facility/Professional Professional Modifier Low / Median / High Price $328.96 / $379.53 / $690.72	Professional		$328.96	$379.53	$690.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $500.00 / $603.44	Professional		$296.02	$500.00	$603.44