Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.13 / $485.51 / $669.36	Professional		$402.13	$485.51	$669.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $597.53 / $597.53 / $654.22	Professional		$597.53	$597.53	$654.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $458.33 / $458.33	Facility		$458.33	$458.33	$458.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.58 / $389.58 / $458.33	Professional		$389.58	$389.58	$458.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.05 / $1,031.83 / $1,321.03	Professional		$884.05	$1,031.83	$1,321.03
United Facility/Professional Professional Modifier Low / Median / High Price $470.76 / $549.22 / $1,081.86	Professional		$470.76	$549.22	$1,081.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $626.78 / $626.78 / $802.91	Professional		$626.78	$626.78	$802.91