Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.73 / $514.91 / $692.10	Professional		$416.73	$514.91	$692.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $633.50 / $633.50 / $706.51	Professional		$633.50	$633.50	$706.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.90 / $687.90 / $687.90	Facility		$687.90	$687.90	$687.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $584.72 / $687.90	Professional		$76.87	$584.72	$687.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.71 / $989.95 / $1,316.63	Professional		$839.71	$989.95	$1,316.63
United Facility/Professional Professional Modifier Low / Median / High Price $345.37 / $516.19 / $806.30	Professional		$345.37	$516.19	$806.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $608.02 / $682.02 / $881.71	Professional		$608.02	$682.02	$881.71