Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.68 / $915.68 / $915.68	Facility		$915.68	$915.68	$915.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.80 / $915.68 / $915.68	Professional		$880.80	$915.68	$915.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $403.61 / $403.61 / $403.61	Professional		$403.61	$403.61	$403.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.18 / $361.18 / $872.08	Facility		$361.18	$361.18	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,110.67	Professional		$872.08	$872.08	$1,110.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.00 / $834.00 / $896.00	Professional		$689.00	$834.00	$896.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $920.04	Professional		$872.08	$872.08	$920.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $754.72 / $754.72 / $754.72	Professional		$754.72	$754.72	$754.72