Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $633.67 / $844.91	Professional		$26.66	$633.67	$844.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $31.72 / $40.60	Professional		$31.72	$31.72	$40.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $46.61 / $46.61	Facility		$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.74 / $759.74 / $759.74	Professional		$759.74	$759.74	$759.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.88 / $1,059.75 / $1,423.09	Professional		$686.88	$1,059.75	$1,423.09
United Facility/Professional Professional Modifier Low / Median / High Price $598.91 / $825.15 / $1,508.99	Professional		$598.91	$825.15	$1,508.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $981.25 / $1,132.42 / $1,258.25	Professional		$981.25	$1,132.42	$1,258.25