Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $509.68 / $557.25	Professional		$407.74	$509.68	$557.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $543.66 / $611.61 / $697.24	Professional		$543.66	$611.61	$697.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.17 / $446.66 / $879.40	Facility		$360.17	$446.66	$879.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.17 / $483.23 / $1,669.97	Professional		$360.17	$483.23	$1,669.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.57 / $815.48 / $1,019.36	Professional		$679.57	$815.48	$1,019.36
United Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $319.39 / $618.40	Professional		$285.42	$319.39	$618.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $271.83 / $339.79	Professional		$265.02	$271.83	$339.79