Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.35 / $606.35 / $606.35	Facility		$606.35	$606.35	$606.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $812.51	Professional		$575.50	$575.50	$812.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.51 / $606.35 / $606.35	Professional		$575.51	$606.35	$606.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.10 / $658.10 / $708.35	Facility		$658.10	$658.10	$708.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $683.50	Professional		$575.50	$575.50	$683.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $489.18 / $575.50	Professional		$387.37	$489.18	$575.50
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $640.65 / $696.36	Professional		$575.50	$640.65	$696.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $658.10 / $658.10 / $818.57	Professional		$658.10	$658.10	$818.57