Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.14 / $419.46 / $815.82	Professional		$342.14	$419.46	$815.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.50 / $523.04 / $523.04	Professional		$478.50	$523.04	$523.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $654.75 / $654.75	Facility		$654.00	$654.75	$654.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.54 / $556.54 / $654.75	Professional		$556.54	$556.54	$654.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.98 / $488.87 / $650.20	Professional		$439.98	$488.87	$650.20
United Facility/Professional Professional Modifier Low / Median / High Price $369.37 / $485.69 / $803.89	Professional		$369.37	$485.69	$803.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $401.88 / $1,054.80 / $1,054.80	Professional		$401.88	$1,054.80	$1,054.80