Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.91 / $632.52 / $708.30	Professional		$539.91	$632.52	$708.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $792.25 / $792.25 / $1,105.18	Professional		$792.25	$792.25	$1,105.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.52 / $1,745.52 / $1,745.52	Facility		$1,745.52	$1,745.52	$1,745.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.97 / $790.49 / $1,789.27	Professional		$561.97	$790.49	$1,789.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.32 / $756.35 / $1,257.73	Professional		$586.32	$756.35	$1,257.73
United Facility/Professional Professional Modifier Low / Median / High Price $615.22 / $932.51 / $1,398.21	Professional		$615.22	$932.51	$1,398.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $553.07 / $553.07 / $553.07	Professional		$553.07	$553.07	$553.07