Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.17 / $235.17 / $235.17	Facility		$235.17	$235.17	$235.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $225.45	Professional		$204.96	$204.96	$225.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $620.16 / $620.16 / $620.16	Professional		$620.16	$620.16	$620.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $1,076.67	Facility		$204.96	$204.96	$1,076.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $261.02	Professional		$204.96	$204.96	$261.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $204.96 / $1,139.94	Professional		$174.22	$204.96	$1,139.94
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $217.26	Professional		$204.96	$204.96	$217.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.35 / $263.35 / $268.50	Professional		$263.35	$263.35	$268.50