Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $330.31 / $330.31	Facility		$330.31	$330.31	$330.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $484.42	Professional		$461.36	$461.36	$484.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $241.60 / $241.60	Professional		$241.60	$241.60	$241.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Facility		$461.36	$461.36	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $587.57	Professional		$461.36	$461.36	$587.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.16 / $461.36 / $1,500.50	Professional		$392.16	$461.36	$1,500.50
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $489.04	Professional		$461.36	$461.36	$489.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $330.31 / $461.36 / $604.38	Professional		$330.31	$461.36	$604.38