Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.46 / $602.46 / $602.46	Facility		$602.46	$602.46	$602.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $242.39 / $327.79	Professional		$170.63	$242.39	$327.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $265.00 / $337.91	Professional		$265.00	$265.00	$337.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $248.05	Facility		$248.05	$248.05	$248.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $181.08 / $248.05	Professional		$181.08	$181.08	$248.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.02 / $494.32 / $711.82	Professional		$346.02	$494.32	$711.82
United Facility/Professional Professional Modifier Low / Median / High Price $190.30 / $253.73 / $391.06	Professional		$190.30	$253.73	$391.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.81 / $230.81 / $346.02	Professional		$230.81	$230.81	$346.02