Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.05 / $601.65 / $987.59	Professional		$517.05	$601.65	$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 $1,014.49 / $1,014.49 / $1,014.49	Facility		$1,014.49	$1,014.49	$1,014.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $740.58 / $1,014.49	Professional		$740.58	$740.58	$1,014.49
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 $569.08 / $630.26 / $1,004.63	Professional		$569.08	$630.26	$1,004.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $756.87 / $756.87 / $884.33	Professional		$756.87	$756.87	$884.33