Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.02 / $663.78 / $672.75	Professional		$592.02	$663.78	$672.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.84 / $717.60 / $975.94	Professional		$645.84	$717.60	$975.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.41 / $475.41 / $475.41	Facility		$475.41	$475.41	$475.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.41 / $1,030.84 / $1,288.56	Professional		$475.41	$1,030.84	$1,288.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,121.25 / $1,345.50	Professional		$897.00	$1,121.25	$1,345.50
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $448.50 / $816.25	Professional		$376.74	$448.50	$816.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.28 / $12.85	Professional		$10.02	$10.28	$12.85