Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.68 / $446.62 / $793.92	Professional		$386.68	$446.62	$793.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $456.38 / $456.88 / $522.21	Professional		$456.38	$456.88	$522.21
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 $399.84 / $557.84 / $1,288.06	Professional		$399.84	$557.84	$1,288.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.96 / $566.53 / $903.19	Professional		$425.96	$566.53	$903.19
United Facility/Professional Professional Modifier Low / Median / High Price $358.54 / $488.36 / $879.96	Professional		$358.54	$488.36	$879.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $327.35 / $489.85 / $608.29	Professional		$327.35	$489.85	$608.29