Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.60 / $486.16 / $883.11	Professional		$466.60	$486.16	$883.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.44 / $482.06 / $583.29	Professional		$446.44	$482.06	$583.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.27 / $1,675.27 / $1,675.27	Facility		$1,675.27	$1,675.27	$1,675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.87 / $535.79 / $997.78	Professional		$371.87	$535.79	$997.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.13 / $525.20 / $868.41	Professional		$407.13	$525.20	$868.41
United Facility/Professional Professional Modifier Low / Median / High Price $356.87 / $506.36 / $913.82	Professional		$356.87	$506.36	$913.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $352.78 / $352.78 / $570.71	Professional		$352.78	$352.78	$570.71