Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $730.43 / $730.43	Facility		$730.43	$730.43	$730.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $688.07	Professional		$655.29	$655.29	$688.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Facility		$655.29	$655.29	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $834.58	Professional		$655.29	$655.29	$834.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.01 / $655.29 / $1,574.85	Professional		$557.01	$655.29	$1,574.85
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $691.34	Professional		$655.29	$655.29	$691.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $858.44 / $1,016.31 / $1,016.31	Professional		$858.44	$1,016.31	$1,016.31