Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.71 / $704.48 / $900.15	Professional		$576.71	$704.48	$900.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $786.45 / $786.45 / $877.10	Professional		$786.45	$786.45	$877.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $305.64 / $305.64	Professional		$305.64	$305.64	$305.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.82 / $1,211.72 / $1,611.58	Professional		$1,027.82	$1,211.72	$1,611.58
United Facility/Professional Professional Modifier Low / Median / High Price $483.73 / $631.66 / $987.35	Professional		$483.73	$631.66	$987.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $744.13 / $835.47 / $1,165.01	Professional		$744.13	$835.47	$1,165.01