Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.27 / $578.99 / $578.99	Professional		$571.27	$578.99	$578.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $555.82 / $617.58 / $839.91	Professional		$555.82	$617.58	$839.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.15 / $539.44 / $999.00	Facility		$409.15	$539.44	$999.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.15 / $887.12 / $1,108.91	Professional		$409.15	$887.12	$1,108.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $771.98 / $887.78 / $1,157.97	Professional		$771.98	$887.78	$1,157.97
United Facility/Professional Professional Modifier Low / Median / High Price $324.23 / $347.39 / $702.49	Professional		$324.23	$347.39	$702.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $308.79 / $308.79 / $308.79	Professional		$308.79	$308.79	$308.79