Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $268.56 / $379.76	Professional		$210.13	$268.56	$379.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,590.84 / $1,590.84 / $1,590.84	Professional		$1,590.84	$1,590.84	$1,590.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $34.33 / $709.61	Professional		$34.33	$34.33	$709.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $28.97 / $51.63	Professional		$23.17	$28.97	$51.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $304.00	Professional		$304.00	$304.00	$304.00