Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.32 / $545.33 / $819.60	Professional		$446.32	$545.33	$819.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $764.96 / $764.96 / $853.16	Professional		$764.96	$764.96	$853.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $766.64 / $766.64	Facility		$766.64	$766.64	$766.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.64 / $651.64 / $651.64	Professional		$651.64	$651.64	$651.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $935.84 / $1,103.27 / $1,467.35	Professional		$935.84	$1,103.27	$1,467.35
United Facility/Professional Professional Modifier Low / Median / High Price $384.71 / $574.99 / $898.81	Professional		$384.71	$574.99	$898.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $677.51 / $749.51 / $901.77	Professional		$677.51	$749.51	$901.77