Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $540.00	Professional		$540.00	$540.00	$540.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $628.55 / $698.40 / $949.82	Professional		$628.55	$698.40	$949.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.60 / $381.60 / $381.60	Facility		$381.60	$381.60	$381.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $827.24 / $1,034.05	Professional		$381.60	$827.24	$1,034.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $900.00 / $1,080.00	Professional		$720.00	$900.00	$1,080.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $342.00 / $655.19	Professional		$302.39	$342.00	$655.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $360.00 / $572.40	Professional		$228.90	$360.00	$572.40