Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.29 / $464.86 / $704.48	Professional		$427.29	$464.86	$704.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.22 / $421.54 / $510.06	Professional		$398.22	$421.54	$510.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,060.31 / $2,060.31 / $2,060.31	Facility		$2,060.31	$2,060.31	$2,060.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.18 / $482.79 / $975.60	Professional		$362.18	$482.79	$975.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.47 / $507.58 / $844.61	Professional		$393.47	$507.58	$844.61
United Facility/Professional Professional Modifier Low / Median / High Price $335.87 / $461.29 / $722.00	Professional		$335.87	$461.29	$722.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $315.56 / $315.56 / $553.55	Professional		$315.56	$315.56	$553.55