Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.86 / $311.10 / $584.57	Professional		$267.86	$311.10	$584.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $337.00 / $347.99 / $385.19	Professional		$337.00	$347.99	$385.19
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 $295.64 / $430.54 / $869.14	Professional		$295.64	$430.54	$869.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.62 / $499.62 / $820.78	Professional		$376.62	$499.62	$820.78
United Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $406.98 / $869.90	Professional		$286.27	$406.98	$869.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $310.37 / $433.11 / $533.79	Professional		$310.37	$433.11	$533.79