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 $659.01 / $659.01 / $806.96	Professional		$659.01	$659.01	$806.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $782.41	Facility		$782.41	$782.41	$782.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $571.16 / $782.41	Professional		$571.16	$571.16	$782.41
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 $487.18 / $588.91 / $938.73	Professional		$487.18	$588.91	$938.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $647.30 / $647.30 / $826.33	Professional		$647.30	$647.30	$826.33