Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.25 / $967.25 / $967.25	Facility		$967.25	$967.25	$967.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.85 / $308.75 / $593.12	Professional		$260.85	$308.75	$593.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $333.29 / $334.57 / $408.12	Professional		$333.29	$334.57	$408.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $380.63	Professional		$277.86	$277.86	$380.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.91 / $597.02 / $859.71	Professional		$417.91	$597.02	$859.71
United Facility/Professional Professional Modifier Low / Median / High Price $279.24 / $336.50 / $472.30	Professional		$279.24	$336.50	$472.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $361.33 / $417.91	Professional		$361.33	$361.33	$417.91