Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.48 / $402.15 / $690.43	Professional		$361.48	$402.15	$690.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $474.00 / $474.00 / $603.76	Professional		$474.00	$474.00	$603.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $524.34	Facility		$524.34	$524.34	$524.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $382.77 / $524.34	Professional		$382.77	$382.77	$524.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $618.25 / $883.21 / $1,271.82	Professional		$618.25	$883.21	$1,271.82
United Facility/Professional Professional Modifier Low / Median / High Price $364.45 / $440.62 / $705.99	Professional		$364.45	$440.62	$705.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $502.72 / $502.72 / $618.25	Professional		$502.72	$502.72	$618.25