Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.06 / $496.56 / $829.66	Professional		$398.06	$496.56	$829.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.39 / $691.39 / $691.39	Professional		$691.39	$691.39	$691.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $763.12	Facility		$581.42	$581.42	$763.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $494.22 / $705.09	Professional		$494.22	$494.22	$705.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.91 / $732.67 / $942.00	Professional		$562.91	$732.67	$942.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.28 / $517.39 / $817.89	Professional		$399.28	$517.39	$817.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $683.54 / $699.76 / $699.76	Professional		$683.54	$699.76	$699.76