Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.78 / $717.78 / $717.78	Facility		$717.78	$717.78	$717.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $729.99	Professional		$663.63	$663.63	$729.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $272.00 / $272.00	Professional		$272.00	$272.00	$272.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Facility		$663.63	$663.63	$663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $845.18	Professional		$663.63	$663.63	$845.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.09 / $663.63 / $899.91	Professional		$564.09	$663.63	$899.91
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $849.92	Professional		$663.63	$663.63	$849.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $869.36	Professional		$663.63	$663.63	$869.36