Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $501.19	Professional		$380.19	$380.19	$501.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $707.95	Facility		$398.11	$398.11	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $398.11	Professional		$380.19	$380.19	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $741.31	Professional		$323.59	$380.19	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $457.09	Facility		$380.19	$380.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $467.74	Professional		$380.19	$426.58	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $501.19	Professional		$380.19	$398.11	$501.19