Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.66 / $604.66 / $604.66	Facility		$604.66	$604.66	$604.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $604.66 / $711.36	Professional		$569.09	$604.66	$711.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Professional		$628.37	$628.37	$628.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $471.24 / $628.37	Facility		$471.24	$471.24	$628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $741.00	Professional		$628.37	$628.37	$741.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.40 / $532.40 / $779.55	Professional		$415.40	$532.40	$779.55
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $659.91 / $707.45	Professional		$592.79	$659.91	$707.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Professional		$628.37	$628.37	$628.37