Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.30 / $450.29 / $737.30	Professional		$326.30	$450.29	$737.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $640.71 / $736.57 / $736.57	Professional		$640.71	$736.57	$736.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $761.97	Facility		$736.58	$736.58	$761.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $537.70 / $537.70	Professional		$537.70	$537.70	$537.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.95 / $659.93 / $989.90	Professional		$461.95	$659.93	$989.90
United Facility/Professional Professional Modifier Low / Median / High Price $460.82 / $595.16 / $930.10	Professional		$460.82	$595.16	$930.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $646.32 / $646.32	Professional		$328.00	$646.32	$646.32