Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.83 / $586.21 / $594.13	Professional		$522.83	$586.21	$594.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $570.37 / $633.74 / $861.89	Professional		$570.37	$633.74	$861.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.85 / $419.85 / $419.85	Facility		$419.85	$419.85	$419.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.25 / $910.25 / $1,137.82	Professional		$910.25	$910.25	$1,137.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.17 / $990.21 / $1,188.26	Professional		$792.17	$990.21	$1,188.26
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $372.32 / $720.86	Professional		$332.71	$372.32	$720.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $201.36 / $251.70	Professional		$196.33	$201.36	$251.70