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 / $42.00 / $815.00	Professional		$30.00	$42.00	$815.00
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 $106.41 / $106.41 / $106.41	Professional		$106.41	$106.41	$106.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $201.60 / $201.60	Professional		$201.60	$201.60	$201.60