Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $409.52 / $409.52	Facility		$409.52	$409.52	$409.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $610.19	Professional		$422.89	$422.89	$610.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $409.52 / $422.90	Professional		$409.52	$409.52	$422.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.87 / $399.87 / $703.90	Facility		$399.87	$399.87	$703.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $498.69	Professional		$422.89	$422.89	$498.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.46 / $422.89 / $745.31	Professional		$359.46	$422.89	$745.31
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $470.77 / $513.29	Professional		$422.89	$470.77	$513.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $399.87 / $399.87 / $553.99	Professional		$399.87	$399.87	$553.99