Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.24 / $458.24 / $819.85	Professional		$429.24	$458.24	$819.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $551.00 / $551.00 / $716.93	Professional		$551.00	$551.00	$716.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $695.41	Facility		$695.41	$695.41	$695.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $507.65 / $695.41	Professional		$507.65	$507.65	$695.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $734.14 / $1,048.77 / $1,510.23	Professional		$734.14	$1,048.77	$1,510.23
United Facility/Professional Professional Modifier Low / Median / High Price $434.83 / $523.22 / $834.01	Professional		$434.83	$523.22	$834.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.09 / $575.09 / $734.14	Professional		$575.09	$575.09	$734.14