Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.89 / $931.89 / $931.89	Facility		$931.89	$931.89	$931.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $295.22 / $562.48	Professional		$250.80	$295.22	$562.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $337.40 / $411.56	Professional		$323.00	$337.40	$411.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $382.03	Professional		$278.88	$278.88	$382.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.44 / $602.04 / $866.95	Professional		$421.44	$602.04	$866.95
United Facility/Professional Professional Modifier Low / Median / High Price $271.19 / $310.69 / $476.28	Professional		$271.19	$310.69	$476.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $364.30 / $364.30 / $421.44	Professional		$364.30	$364.30	$421.44