Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.65 / $394.61 / $706.03	Professional		$369.65	$394.61	$706.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $543.13 / $543.13 / $617.39	Professional		$543.13	$543.13	$617.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $576.88	Facility		$576.88	$576.88	$576.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $421.12 / $576.88	Professional		$421.12	$421.12	$576.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.21 / $903.16 / $1,300.55	Professional		$632.21	$903.16	$1,300.55
United Facility/Professional Professional Modifier Low / Median / High Price $372.73 / $450.58 / $718.21	Professional		$372.73	$450.58	$718.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $495.24 / $495.24 / $632.21	Professional		$495.24	$495.24	$632.21