Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $870.96	Professional		$794.33	$794.33	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $812.83 / $812.83	Facility		$794.33	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $812.83	Professional		$794.33	$794.33	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,122.02	Professional		$676.08	$794.33	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $302.00 / $758.58	Facility		$7.59	$302.00	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $794.33 / $831.76	Professional		$316.23	$794.33	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,071.52	Professional		$660.69	$794.33	$1,071.52