Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.95 / $647.22 / $842.63	Professional		$575.95	$647.22	$842.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $839.09 / $839.09 / $935.83	Professional		$839.09	$839.09	$935.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.94 / $840.94 / $840.94	Facility		$840.94	$840.94	$840.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $714.80 / $840.94	Professional		$96.75	$714.80	$840.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,026.64 / $1,210.32 / $1,609.73	Professional		$1,026.64	$1,210.32	$1,609.73
United Facility/Professional Professional Modifier Low / Median / High Price $460.40 / $630.71 / $950.67	Professional		$460.40	$630.71	$950.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $743.01 / $829.18 / $1,163.65	Professional		$743.01	$829.18	$1,163.65