Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.65 / $537.66 / $961.97	Professional		$503.65	$537.66	$961.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $686.96 / $686.96 / $841.22	Professional		$686.96	$686.96	$841.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $741.89	Facility		$741.89	$741.89	$741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $541.58 / $741.89	Professional		$541.58	$541.58	$741.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.41 / $1,230.58 / $1,772.04	Professional		$861.41	$1,230.58	$1,772.04
United Facility/Professional Professional Modifier Low / Median / High Price $476.22 / $613.91 / $978.58	Professional		$476.22	$613.91	$978.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $674.75 / $674.75 / $861.41	Professional		$674.75	$674.75	$861.41