Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.24 / $505.35 / $867.60	Professional		$454.24	$505.35	$867.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $595.00 / $758.70	Professional		$595.00	$595.00	$758.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $740.83	Facility		$740.83	$740.83	$740.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $540.80 / $740.83	Professional		$540.80	$540.80	$740.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.90 / $1,109.85 / $1,598.20	Professional		$776.90	$1,109.85	$1,598.20
United Facility/Professional Professional Modifier Low / Median / High Price $452.41 / $553.69 / $882.58	Professional		$452.41	$553.69	$882.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $624.05 / $624.05 / $776.90	Professional		$624.05	$624.05	$776.90