Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.36 / $618.64 / $863.28	Professional		$506.36	$618.64	$863.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $859.81 / $859.81 / $958.93	Professional		$859.81	$859.81	$958.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $344.45	Facility		$344.45	$344.45	$344.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $292.77 / $344.45	Professional		$292.77	$292.77	$344.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.54 / $1,251.47 / $1,664.45	Professional		$1,061.54	$1,251.47	$1,664.45
United Facility/Professional Professional Modifier Low / Median / High Price $476.32 / $652.52 / $983.55	Professional		$476.32	$652.52	$983.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $768.71 / $852.73 / $1,022.98	Professional		$768.71	$852.73	$1,022.98