Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.77 / $480.14 / $910.63	Professional		$476.77	$480.14	$910.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $625.00 / $796.32	Professional		$625.00	$625.00	$796.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $732.96	Facility		$732.96	$732.96	$732.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $535.05	Professional		$535.05	$535.05	$535.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.43 / $1,164.90 / $1,677.46	Professional		$815.43	$1,164.90	$1,677.46
United Facility/Professional Professional Modifier Low / Median / High Price $469.24 / $581.15 / $926.35	Professional		$469.24	$581.15	$926.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $620.60 / $620.60 / $815.43	Professional		$620.60	$620.60	$815.43