Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.47 / $429.96 / $645.64	Professional		$305.47	$429.96	$645.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $567.09 / $567.09 / $567.09	Professional		$567.09	$567.09	$567.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $647.80 / $647.80	Facility		$621.29	$647.80	$647.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $472.90	Professional		$472.90	$472.90	$472.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.45 / $617.78 / $926.67	Professional		$432.45	$617.78	$926.67
United Facility/Professional Professional Modifier Low / Median / High Price $403.53 / $546.86 / $870.75	Professional		$403.53	$546.86	$870.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $547.82 / $780.28	Professional		$75.00	$547.82	$780.28