Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.77 / $552.74 / $988.94	Professional		$517.77	$552.74	$988.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $797.81 / $797.81 / $864.79	Professional		$797.81	$797.81	$864.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $723.52	Facility		$723.52	$723.52	$723.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $528.16 / $723.52	Professional		$528.16	$528.16	$723.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.55 / $1,265.07 / $1,821.70	Professional		$885.55	$1,265.07	$1,821.70
United Facility/Professional Professional Modifier Low / Median / High Price $489.58 / $631.13 / $1,006.02	Professional		$489.58	$631.13	$1,006.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $698.09 / $698.09 / $885.55	Professional		$698.09	$698.09	$885.55