Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.70 / $569.64 / $914.32	Professional		$478.70	$569.64	$914.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $614.49 / $614.49 / $799.53	Professional		$614.49	$614.49	$799.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $958.87	Facility		$736.69	$736.69	$958.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $537.78	Professional		$537.78	$537.78	$537.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.72 / $1,169.59 / $1,684.22	Professional		$818.72	$1,169.59	$1,684.22
United Facility/Professional Professional Modifier Low / Median / High Price $452.64 / $583.50 / $930.10	Professional		$452.64	$583.50	$930.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.99 / $641.34 / $818.72	Professional		$347.99	$641.34	$818.72