Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $703.00 / $712.50	Professional		$627.00	$703.00	$712.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $760.00 / $1,033.59	Professional		$684.00	$760.00	$1,033.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.39 / $663.83 / $1,229.35	Facility		$624.39	$663.83	$1,229.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $1,091.56 / $1,364.45	Professional		$503.50	$1,091.56	$1,364.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $1,092.50 / $1,425.00	Professional		$950.00	$1,092.50	$1,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $446.50 / $864.48	Professional		$399.00	$446.50	$864.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $370.50 / $475.00	Professional		$336.26	$370.50	$475.00