Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $363.08	Professional		$194.98	$234.42	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $309.03	Professional		$234.42	$234.42	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $281.84	Professional		$204.17	$204.17	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $676.08	Professional		$309.03	$446.68	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $331.13	Facility		$194.98	$323.59	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $346.74	Professional		$194.98	$223.87	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $371.54	Professional		$263.03	$263.03	$371.54