Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.94 / $621.70 / $934.58	Professional		$508.94	$621.70	$934.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $872.27 / $872.27 / $972.79	Professional		$872.27	$872.27	$972.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $382.50 / $450.00	Professional		$382.50	$382.50	$450.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,066.86 / $1,257.74 / $1,672.80	Professional		$1,066.86	$1,257.74	$1,672.80
United Facility/Professional Professional Modifier Low / Median / High Price $478.54 / $655.84 / $988.55	Professional		$478.54	$655.84	$988.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $772.45 / $882.46 / $1,028.16	Professional		$772.45	$882.46	$1,028.16