Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.45 / $338.08 / $587.41	Professional		$312.45	$338.08	$587.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $411.72 / $417.18 / $523.37	Professional		$411.72	$417.18	$523.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $1,765.51 / $1,765.51	Facility		$1,765.51	$1,765.51	$1,765.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.47 / $492.09 / $956.79	Professional		$344.47	$492.09	$956.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.92 / $499.13 / $832.25	Professional		$386.92	$499.13	$832.25
United Facility/Professional Professional Modifier Low / Median / High Price $322.48 / $443.51 / $800.17	Professional		$322.48	$443.51	$800.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $351.71 / $444.96 / $548.88	Professional		$351.71	$444.96	$548.88