Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $446.68	Facility		$407.38	$416.87	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $912.01 / $1,071.52	Professional		$851.14	$912.01	$1,071.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $851.14 / $851.14	Professional		$831.76	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $851.14 / $1,202.26	Professional		$186.21	$851.14	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,071.52	Facility		$891.25	$1,000.00	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,071.52	Professional		$891.25	$891.25	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15