Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.73 / $177.73 / $177.73	Facility		$177.73	$177.73	$177.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.14 / $342.49 / $471.74	Professional		$235.14	$342.49	$471.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $476.33 / $530.07 / $530.07	Professional		$476.33	$530.07	$530.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $489.93	Facility		$465.67	$465.67	$489.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $339.94 / $465.67	Professional		$339.94	$339.94	$465.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.43 / $490.62 / $735.93	Professional		$343.43	$490.62	$735.93
United Facility/Professional Professional Modifier Low / Median / High Price $294.83 / $402.06 / $633.60	Professional		$294.83	$402.06	$633.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $413.53 / $413.53	Professional		$102.00	$413.53	$413.53