Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.66 / $619.79 / $1,039.35	Professional		$483.66	$619.79	$1,039.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $833.69 / $833.69 / $833.69	Professional		$833.69	$833.69	$833.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $897.30	Facility		$670.25	$670.25	$897.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.71 / $569.71 / $809.86	Professional		$569.71	$569.71	$809.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.10 / $925.71 / $1,195.94	Professional		$682.10	$925.71	$1,195.94
United Facility/Professional Professional Modifier Low / Median / High Price $546.96 / $657.43 / $1,039.57	Professional		$546.96	$657.43	$1,039.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $803.58 / $803.58 / $828.27	Professional		$803.58	$803.58	$828.27