Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.21 / $813.21 / $813.21	Facility		$813.21	$813.21	$813.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $808.55	Professional		$735.05	$735.05	$808.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Facility		$735.05	$735.05	$735.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $936.14	Professional		$735.05	$735.05	$936.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.79 / $735.05 / $1,993.81	Professional		$624.79	$735.05	$1,993.81
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $775.48	Professional		$735.05	$735.05	$775.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $962.92	Professional		$735.05	$735.05	$962.92