Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.11 / $551.87 / $585.63	Professional		$465.11	$551.87	$585.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $495.84 / $495.84 / $572.66	Professional		$495.84	$495.84	$572.66
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 $489.49 / $681.28 / $1,203.44	Professional		$489.49	$681.28	$1,203.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.61 / $701.81 / $828.92	Professional		$552.61	$701.81	$828.92
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $579.22 / $1,047.64	Professional		$432.02	$579.22	$1,047.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $412.38 / $635.50 / $786.11	Professional		$412.38	$635.50	$786.11