Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.33 / $448.17 / $573.60	Professional		$312.33	$448.17	$573.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $535.36 / $535.36 / $597.03	Professional		$535.36	$535.36	$597.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $232.12	Facility		$232.12	$232.12	$232.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $197.30 / $232.12	Professional		$197.30	$197.30	$232.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.85 / $772.01 / $1,026.77	Professional		$654.85	$772.01	$1,026.77
United Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $402.37 / $606.50	Professional		$269.32	$402.37	$606.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $474.10 / $534.04 / $742.39	Professional		$474.10	$534.04	$742.39