Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.22 / $560.26 / $921.04	Professional		$482.22	$560.26	$921.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $632.00 / $805.42	Professional		$632.00	$632.00	$805.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $736.22	Facility		$736.22	$736.22	$736.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $537.44 / $736.22	Professional		$537.44	$537.44	$736.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.75 / $1,178.21 / $1,696.62	Professional		$824.75	$1,178.21	$1,696.62
United Facility/Professional Professional Modifier Low / Median / High Price $512.38 / $587.79 / $936.94	Professional		$512.38	$587.79	$936.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.18 / $705.87 / $824.75	Professional		$371.18	$705.87	$824.75