Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.60 / $562.40 / $570.00	Professional		$501.60	$562.40	$570.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $547.20 / $608.00 / $826.88	Professional		$547.20	$608.00	$826.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.80 / $531.05 / $983.49	Facility		$402.80	$531.05	$983.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $873.50 / $1,091.86	Professional		$402.80	$873.50	$1,091.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $874.00 / $1,140.00	Professional		$760.00	$874.00	$1,140.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $380.00 / $691.58	Professional		$319.20	$380.00	$691.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $304.00 / $380.00	Professional		$296.39	$304.00	$380.00