Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.46 / $941.46 / $941.46	Facility		$941.46	$941.46	$941.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $784.85	Professional		$713.50	$713.50	$784.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,007.00	Professional		$1,007.00	$1,007.00	$1,007.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Facility		$713.50	$713.50	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $908.70	Professional		$713.50	$713.50	$908.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.48 / $713.50 / $1,314.88	Professional		$606.48	$713.50	$1,314.88
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $756.31	Professional		$713.50	$713.50	$756.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $934.69 / $1,280.74 / $1,280.74	Professional		$934.69	$1,280.74	$1,280.74