Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.38 / $630.49 / $689.33	Professional		$504.38	$630.49	$689.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $605.27 / $672.52 / $766.67	Professional		$605.27	$672.52	$766.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.11 / $447.11 / $858.32	Facility		$447.11	$447.11	$858.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.81 / $663.43 / $2,065.92	Professional		$455.81	$663.43	$2,065.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $1,008.78 / $1,260.98	Professional		$840.65	$1,008.78	$1,260.98
United Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $378.29 / $590.61	Professional		$248.06	$378.29	$590.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $327.85 / $336.26 / $420.33	Professional		$327.85	$336.26	$420.33