Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.37 / $514.75 / $701.56	Professional		$421.37	$514.75	$701.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $613.87 / $613.87 / $684.61	Professional		$613.87	$613.87	$684.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.17 / $615.17 / $615.17	Facility		$615.17	$615.17	$615.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $522.90 / $707.82	Professional		$522.90	$522.90	$707.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.04 / $901.34 / $1,081.60	Professional		$701.04	$901.34	$1,081.60
United Facility/Professional Professional Modifier Low / Median / High Price $332.53 / $499.64 / $792.29	Professional		$332.53	$499.64	$792.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $639.92 / $639.92 / $851.27	Professional		$639.92	$639.92	$851.27