Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.10 / $568.71 / $870.12	Professional		$376.10	$568.71	$870.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $765.37 / $840.46 / $840.46	Professional		$765.37	$840.46	$840.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $952.31	Facility		$812.83	$812.83	$952.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $812.83	Professional		$593.37	$593.37	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.83 / $788.33 / $1,182.50	Professional		$551.83	$788.33	$1,182.50
United Facility/Professional Professional Modifier Low / Median / High Price $543.83 / $630.26 / $1,004.63	Professional		$543.83	$630.26	$1,004.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $762.75 / $762.75	Professional		$163.50	$762.75	$762.75