Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $851.14	Professional		$691.83	$691.83	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $977.24	Facility		$645.65	$645.65	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $707.95	Professional		$691.83	$691.83	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $707.95	Professional		$588.84	$691.83	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $707.95	Facility		$691.83	$691.83	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $812.83	Professional		$676.08	$724.44	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $891.25	Professional		$645.65	$645.65	$891.25