Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.20 / $564.87 / $991.67	Professional		$519.20	$564.87	$991.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $680.00 / $867.19	Professional		$680.00	$680.00	$867.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $713.15	Facility		$713.15	$713.15	$713.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $520.60 / $713.15	Professional		$520.60	$520.60	$713.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $888.00 / $1,268.57 / $1,826.74	Professional		$888.00	$1,268.57	$1,826.74
United Facility/Professional Professional Modifier Low / Median / High Price $495.67 / $632.88 / $1,008.80	Professional		$495.67	$632.88	$1,008.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $683.75 / $683.75 / $888.00	Professional		$683.75	$683.75	$888.00