Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.35 / $481.46 / $842.98	Professional		$441.35	$481.46	$842.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.01 / $602.01 / $737.16	Professional		$602.01	$602.01	$737.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $711.81	Facility		$711.81	$711.81	$711.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $519.62 / $711.81	Professional		$519.62	$519.62	$711.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.86 / $1,078.36 / $1,552.85	Professional		$754.86	$1,078.36	$1,552.85
United Facility/Professional Professional Modifier Low / Median / High Price $455.96 / $537.98 / $857.54	Professional		$455.96	$537.98	$857.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $646.04 / $646.04 / $754.86	Professional		$646.04	$646.04	$754.86