Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.47 / $358.89 / $587.27	Professional		$307.47	$358.89	$587.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $457.04 / $457.04 / $513.54	Professional		$457.04	$457.04	$513.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $488.53	Facility		$488.53	$488.53	$488.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $356.63 / $654.59	Professional		$356.63	$356.63	$654.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.88 / $751.25 / $1,081.80	Professional		$525.88	$751.25	$1,081.80
United Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $387.68 / $611.74	Professional		$325.16	$387.68	$611.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.86 / $432.06 / $525.88	Professional		$159.86	$432.06	$525.88