Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $1,949.84	Facility		$389.05	$389.05	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $524.81	Professional		$223.87	$389.05	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $501.19	Professional		$389.05	$389.05	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $416.87	Professional		$331.13	$389.05	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $467.74	Professional		$380.19	$389.05	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19