Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $194.83 / $194.83	Facility		$194.83	$194.83	$194.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $609.33	Professional		$553.94	$553.94	$609.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $37.79 / $37.79	Professional		$37.79	$37.79	$37.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Facility		$553.94	$553.94	$553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $705.48	Professional		$553.94	$553.94	$705.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.84 / $553.92 / $1,545.82	Professional		$470.84	$553.92	$1,545.82
United Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $553.94 / $581.91	Professional		$247.92	$553.94	$581.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $553.92 / $725.65	Professional		$194.83	$553.92	$725.65