Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.82 / $374.51 / $2,252.16	Professional		$370.82	$374.51	$2,252.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $493.99 / $507.42 / $579.98	Professional		$493.99	$507.42	$579.98
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 $385.74 / $594.55 / $1,132.74	Professional		$385.74	$594.55	$1,132.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.51 / $605.83 / $979.89	Professional		$455.51	$605.83	$979.89
United Facility/Professional Professional Modifier Low / Median / High Price $366.70 / $526.39 / $868.81	Professional		$366.70	$526.39	$868.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.35 / $523.84 / $646.13	Professional		$392.35	$523.84	$646.13