Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.74 / $412.76 / $495.17	Professional		$326.74	$412.76	$495.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $485.30 / $582.36 / $582.36	Professional		$485.30	$582.36	$582.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $108.80 / $128.00	Professional		$108.80	$108.80	$128.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $647.88 / $861.68	Professional		$549.54	$647.88	$861.68
United Facility/Professional Professional Modifier Low / Median / High Price $364.91 / $487.13 / $714.84	Professional		$364.91	$487.13	$714.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.50 / $416.53 / $416.53	Professional		$416.50	$416.53	$416.53