Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $339.76 / $339.76	Facility		$339.76	$339.76	$339.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $434.89	Professional		$340.31	$340.31	$434.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.27 / $339.76 / $340.31	Professional		$316.27	$339.76	$340.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $328.91 / $340.31	Facility		$328.91	$328.91	$340.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.91 / $340.31 / $340.31	Professional		$328.91	$340.31	$340.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $340.31 / $361.71	Professional		$321.52	$340.31	$361.71
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $340.31 / $348.85	Professional		$136.12	$340.31	$348.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $333.23 / $340.31	Professional		$282.00	$333.23	$340.31