Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.93 / $432.40 / $683.65	Professional		$357.93	$432.40	$683.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $469.00 / $597.82	Professional		$469.00	$469.00	$597.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $565.73	Facility		$565.73	$565.73	$565.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $412.98 / $565.73	Professional		$412.98	$412.98	$565.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.16 / $874.53 / $1,259.32	Professional		$612.16	$874.53	$1,259.32
United Facility/Professional Professional Modifier Low / Median / High Price $393.94 / $436.30 / $695.45	Professional		$393.94	$436.30	$695.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $523.92 / $523.92 / $612.16	Professional		$523.92	$523.92	$612.16