Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.50 / $474.57 / $638.44	Professional		$387.50	$474.57	$638.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $555.28 / $571.28 / $942.61	Professional		$555.28	$571.28	$942.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.86 / $567.86 / $567.86	Facility		$567.86	$567.86	$567.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.19 / $538.80 / $967.53	Professional		$423.19	$538.80	$967.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $556.55 / $795.09	Professional		$437.89	$556.55	$795.09
United Facility/Professional Professional Modifier Low / Median / High Price $361.52 / $462.27 / $832.97	Professional		$361.52	$462.27	$832.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.24 / $535.19 / $689.08	Professional		$350.24	$535.19	$689.08