Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.05 / $758.76 / $987.59	Professional		$517.05	$758.76	$987.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $705.27 / $705.27 / $863.60	Professional		$705.27	$705.27	$863.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $906.54	Professional		$661.77	$661.77	$906.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.33 / $1,263.33 / $1,819.20	Professional		$884.33	$1,263.33	$1,819.20
United Facility/Professional Professional Modifier Low / Median / High Price $534.16 / $630.26 / $1,004.63	Professional		$534.16	$630.26	$1,004.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $756.87 / $884.33	Professional		$163.50	$756.87	$884.33