Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $411.15 / $612.61	Professional		$386.96	$411.15	$612.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $427.26 / $427.26	Professional		$427.26	$427.26	$427.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.18 / $435.33 / $611.00	Professional		$363.18	$435.33	$611.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $448.71 / $489.26	Professional		$403.08	$448.71	$489.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $427.27 / $427.27 / $427.27	Professional		$427.27	$427.27	$427.27