Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.59 / $666.13 / $699.84	Professional		$574.59	$666.13	$699.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $633.38 / $633.38 / $723.95	Professional		$633.38	$633.38	$723.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,146.28 / $11,146.28 / $11,146.28	Facility		$11,146.28	$11,146.28	$11,146.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.21 / $832.89 / $1,542.55	Professional		$627.21	$832.89	$1,542.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.96 / $849.58 / $1,003.44	Professional		$668.96	$849.58	$1,003.44
United Facility/Professional Professional Modifier Low / Median / High Price $549.94 / $806.25 / $1,538.35	Professional		$549.94	$806.25	$1,538.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $528.59 / $769.30 / $951.65	Professional		$528.59	$769.30	$951.65