Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.11 / $493.07 / $679.13	Professional		$435.11	$493.07	$679.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $633.85 / $633.85 / $706.93	Professional		$633.85	$633.85	$706.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.72 / $422.72 / $422.72	Facility		$422.72	$422.72	$422.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.31 / $359.31 / $359.31	Professional		$359.31	$359.31	$359.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $775.53 / $914.28 / $1,215.99	Professional		$775.53	$914.28	$1,215.99
United Facility/Professional Professional Modifier Low / Median / High Price $347.78 / $476.59 / $718.36	Professional		$347.78	$476.59	$718.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $494.92 / $625.51 / $815.41	Professional		$494.92	$625.51	$815.41