Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.86 / $606.29 / $996.75	Professional		$521.86	$606.29	$996.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $684.00 / $871.62	Professional		$684.00	$684.00	$871.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,057.34	Facility		$1,057.34	$1,057.34	$1,057.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $771.87 / $1,057.34	Professional		$771.87	$771.87	$1,057.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.54 / $1,275.06 / $1,836.09	Professional		$892.54	$1,275.06	$1,836.09
United Facility/Professional Professional Modifier Low / Median / High Price $539.13 / $636.11 / $1,013.95	Professional		$539.13	$636.11	$1,013.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $763.90 / $763.90 / $892.54	Professional		$763.90	$763.90	$892.54