Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.91 / $685.91 / $685.91	Facility		$685.91	$685.91	$685.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $823.20	Professional		$686.00	$686.00	$823.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $685.90 / $685.90 / $686.00	Professional		$685.90	$685.90	$686.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.29 / $642.29 / $664.68	Facility		$642.29	$642.29	$664.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $808.96	Professional		$686.00	$686.00	$808.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.10 / $686.00 / $720.30	Professional		$583.10	$686.00	$720.30
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $763.66 / $830.06	Professional		$686.00	$763.66	$830.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $642.29 / $642.29 / $925.98	Professional		$642.29	$642.29	$925.98