Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.14 / $515.77 / $922.80	Professional		$483.14	$515.77	$922.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $620.20 / $620.20 / $620.20	Professional		$620.20	$620.20	$620.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.53 / $944.53 / $944.53	Facility		$944.53	$944.53	$944.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.51 / $689.51 / $944.53	Professional		$689.51	$689.51	$944.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.33 / $1,180.47 / $1,699.88	Professional		$826.33	$1,180.47	$1,699.88
United Facility/Professional Professional Modifier Low / Median / High Price $456.84 / $588.91 / $938.73	Professional		$456.84	$588.91	$938.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $596.41 / $647.30 / $826.33	Professional		$596.41	$647.30	$826.33