Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.91 / $574.37 / $748.50	Professional		$439.91	$574.37	$748.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $698.60 / $698.60 / $779.10	Professional		$698.60	$698.60	$779.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Facility		$134.00	$134.00	$134.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $113.90 / $134.00	Professional		$113.90	$113.90	$134.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.50 / $1,007.38 / $1,339.82	Professional		$854.50	$1,007.38	$1,339.82
United Facility/Professional Professional Modifier Low / Median / High Price $383.41 / $525.20 / $791.63	Professional		$383.41	$525.20	$791.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $618.75 / $690.77 / $968.32	Professional		$618.75	$690.77	$968.32