Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.65 / $483.65 / $483.65	Facility		$483.65	$483.65	$483.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $494.35	Professional		$449.41	$449.41	$494.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Professional		$449.41	$449.41	$449.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $572.36	Professional		$449.41	$449.41	$572.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $449.41 / $1,404.48	Professional		$382.00	$449.41	$1,404.48
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $494.21	Professional		$449.41	$449.41	$494.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $588.73	Professional		$449.41	$449.41	$588.73