Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.86 / $411.01 / $1,019.50	Professional		$365.86	$411.01	$1,019.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $358.28 / $398.09 / $553.29	Professional		$358.28	$398.09	$553.29
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 $342.13 / $484.03 / $1,118.20	Professional		$342.13	$484.03	$1,118.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.02 / $492.74 / $784.87	Professional		$371.02	$492.74	$784.87
United Facility/Professional Professional Modifier Low / Median / High Price $311.11 / $433.64 / $710.84	Professional		$311.11	$433.64	$710.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $287.85 / $426.67 / $529.85	Professional		$287.85	$426.67	$529.85