Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.80 / $495.12 / $522.63	Professional		$387.80	$495.12	$522.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $435.17 / $435.17 / $514.57	Professional		$435.17	$435.17	$514.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.22 / $1,665.22 / $1,665.22	Facility		$1,665.22	$1,665.22	$1,665.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.63 / $610.26 / $1,053.38	Professional		$428.63	$610.26	$1,053.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.52 / $630.25 / $743.28	Professional		$495.52	$630.25	$743.28
United Facility/Professional Professional Modifier Low / Median / High Price $377.67 / $507.02 / $854.42	Professional		$377.67	$507.02	$854.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.96 / $569.85 / $704.78	Professional		$360.96	$569.85	$704.78