Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.76 / $702.00 / $936.00	Professional		$617.76	$702.00	$936.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $748.80 / $842.40 / $960.34	Professional		$748.80	$842.40	$960.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.08 / $615.19 / $1,211.24	Facility		$496.08	$615.19	$1,211.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.08 / $665.40 / $2,300.94	Professional		$496.08	$665.40	$2,300.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,123.20 / $1,404.00	Professional		$936.00	$1,123.20	$1,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $421.20 / $851.74	Professional		$393.12	$421.20	$851.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $365.04 / $374.40 / $468.00	Professional		$365.04	$374.40	$468.00