Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $383.07 / $12,431.23	Facility		$383.07	$383.07	$12,431.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $391.07 / $496.66	Professional		$391.06	$391.07	$496.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $383.06 / $383.06 / $391.07	Professional		$383.06	$383.06	$391.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.75 / $362.75 / $376.31	Facility		$362.75	$362.75	$376.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $461.17	Professional		$391.07	$391.07	$461.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.41 / $391.07 / $398.45	Professional		$332.41	$391.07	$398.45
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $435.34 / $466.70	Professional		$391.07	$435.34	$466.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.75 / $362.75 / $517.14	Professional		$362.75	$362.75	$517.14