Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $317.42 / $317.42	Facility		$317.42	$317.42	$317.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $382.24	Professional		$318.52	$318.52	$382.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $317.42 / $318.52	Professional		$317.42	$317.42	$318.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.36 / $311.36 / $313.00	Facility		$311.36	$311.36	$313.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $375.63	Professional		$318.52	$318.52	$375.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.75 / $318.52 / $336.76	Professional		$270.75	$318.52	$336.76
United Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $350.56 / $377.86	Professional		$318.52	$350.56	$377.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $311.36 / $428.52	Professional		$311.36	$311.36	$428.52