Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.15 / $800.15 / $800.15	Facility		$800.15	$800.15	$800.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $1,024.19	Professional		$796.09	$796.09	$1,024.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $730.32 / $760.39 / $800.15	Professional		$730.32	$760.39	$800.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $806.51 / $806.51	Facility		$796.09	$806.51	$806.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $806.51	Professional		$796.09	$796.09	$806.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.29 / $796.09 / $1,051.32	Professional		$756.29	$796.09	$1,051.32
United Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $796.09 / $843.86	Professional		$318.44	$796.09	$843.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $664.12 / $760.15 / $820.75	Professional		$664.12	$760.15	$820.75