Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.76 / $584.82 / $810.32	Professional		$398.76	$584.82	$810.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $730.07 / $730.07 / $741.93	Professional		$730.07	$730.07	$741.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $251.69	Facility		$251.69	$251.69	$251.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $213.94 / $251.69	Professional		$213.94	$213.94	$251.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.32 / $657.49 / $1,024.45	Professional		$563.32	$657.49	$1,024.45
United Facility/Professional Professional Modifier Low / Median / High Price $365.93 / $474.58 / $835.61	Professional		$365.93	$474.58	$835.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $834.78 / $834.78 / $905.91	Professional		$834.78	$834.78	$905.91