Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.75 / $570.42 / $751.35	Professional		$434.75	$570.42	$751.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $678.65 / $678.65 / $756.84	Professional		$678.65	$678.65	$756.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.73 / $746.73 / $746.73	Facility		$746.73	$746.73	$746.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $634.72 / $746.73	Professional		$85.92	$634.72	$746.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.58 / $1,074.68 / $1,429.32	Professional		$911.58	$1,074.68	$1,429.32
United Facility/Professional Professional Modifier Low / Median / High Price $408.85 / $560.29 / $844.52	Professional		$408.85	$560.29	$844.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $737.77 / $1,033.34	Professional		$660.00	$737.77	$1,033.34