Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $412.06 / $723.53	Professional		$294.64	$412.06	$723.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $310.05 / $354.01	Professional		$233.86	$310.05	$354.01
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 $290.62 / $488.72 / $947.76	Professional		$290.62	$488.72	$947.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.18 / $509.78 / $887.50	Professional		$395.18	$509.78	$887.50
United Facility/Professional Professional Modifier Low / Median / High Price $380.56 / $556.40 / $879.31	Professional		$380.56	$556.40	$879.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $395.18 / $454.46 / $562.91	Professional		$395.18	$454.46	$562.91