Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $601.96 / $1,613.25	Professional		$259.39	$601.96	$1,613.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $268.25 / $270.05 / $331.79	Professional		$268.25	$270.05	$331.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.19 / $1,012.19 / $1,012.19	Facility		$1,012.19	$1,012.19	$1,012.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.45 / $514.14 / $1,241.99	Professional		$253.45	$514.14	$1,241.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.87 / $687.40 / $1,258.02	Professional		$532.87	$687.40	$1,258.02
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.85 / $1,078.64	Professional		$489.78	$645.85	$1,078.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $495.85 / $612.79 / $757.53	Professional		$495.85	$612.79	$757.53