Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.83 / $388.83 / $388.83	Facility		$388.83	$388.83	$388.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $579.36	Professional		$392.63	$392.63	$579.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $388.83 / $392.62	Professional		$388.83	$388.83	$392.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.77 / $373.77 / $374.16	Facility		$373.77	$373.77	$374.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $463.01	Professional		$392.63	$392.63	$463.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.02 / $349.89 / $392.63	Professional		$311.02	$349.89	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $437.08 / $468.56	Professional		$392.63	$437.08	$468.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $373.77 / $524.91	Professional		$373.77	$373.77	$524.91