Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.94 / $368.94 / $492.00	Facility		$368.94	$368.94	$492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.00 / $714.00	Professional		$30.00	$41.00	$714.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $207.50 / $207.50 / $207.50	Professional		$207.50	$207.50	$207.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $360.00 / $471.05	Professional		$275.00	$360.00	$471.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.65 / $365.65 / $365.65	Professional		$365.65	$365.65	$365.65
United Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $84.66 / $84.66	Professional		$84.66	$84.66	$84.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $202.00	Professional		$202.00	$202.00	$202.00