Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.70 / $675.10 / $1,350.20	Facility		$637.70	$675.10	$1,350.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.40 / $483.28 / $829.70	Professional		$434.40	$483.28	$829.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.71 / $645.71 / $725.56	Professional		$645.71	$645.71	$725.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $607.01	Facility		$607.01	$607.01	$607.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $443.12 / $832.79	Professional		$443.12	$443.12	$832.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.97 / $1,061.39 / $1,528.40	Professional		$742.97	$1,061.39	$1,528.40
United Facility/Professional Professional Modifier Low / Median / High Price $401.52 / $529.51 / $844.03	Professional		$401.52	$529.51	$844.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $454.20 / $582.05 / $742.97	Professional		$454.20	$582.05	$742.97