Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.00 / $438.31 / $1,847.98	Professional		$356.00	$438.31	$1,847.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $379.97 / $381.56 / $494.36	Professional		$379.97	$381.56	$494.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,659.03 / $2,659.03 / $2,659.03	Facility		$2,659.03	$2,659.03	$2,659.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $516.32 / $1,118.77	Professional		$360.00	$516.32	$1,118.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.65 / $590.04 / $951.52	Professional		$443.65	$590.04	$951.52
United Facility/Professional Professional Modifier Low / Median / High Price $391.43 / $557.27 / $1,054.31	Professional		$391.43	$557.27	$1,054.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $510.20 / $633.39	Professional		$353.07	$510.20	$633.39