Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.55 / $356.55 / $356.55	Facility		$356.55	$356.55	$356.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $383.92	Professional		$349.02	$349.02	$383.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.01 / $349.01 / $349.01	Facility		$349.01	$349.01	$349.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $444.50	Professional		$349.01	$349.01	$444.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.67 / $349.02 / $1,025.58	Professional		$296.67	$349.02	$1,025.58
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $368.22	Professional		$349.02	$349.02	$368.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.25 / $383.25 / $457.22	Professional		$383.25	$383.25	$457.22