Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.54 / $596.25 / $825.00	Professional		$548.54	$596.25	$825.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $636.00 / $715.50 / $908.69	Professional		$636.00	$715.50	$908.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.35 / $555.53 / $1,028.78	Facility		$421.35	$555.53	$1,028.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.35 / $590.37 / $1,954.07	Professional		$421.35	$590.37	$1,954.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $954.00 / $1,192.50	Professional		$795.00	$954.00	$1,192.50
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $397.50 / $723.43	Professional		$333.90	$397.50	$723.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $500.00 / $632.03	Professional		$310.05	$500.00	$632.03