Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.32 / $425.04 / $764.36	Professional		$401.32	$425.04	$764.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $596.54 / $596.54 / $670.31	Professional		$596.54	$596.54	$670.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $579.51	Facility		$579.51	$579.51	$579.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $423.04 / $760.32	Professional		$423.04	$423.04	$760.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.39 / $980.56 / $1,412.01	Professional		$686.39	$980.56	$1,412.01
United Facility/Professional Professional Modifier Low / Median / High Price $367.25 / $489.19 / $779.77	Professional		$367.25	$489.19	$779.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $487.95 / $487.95 / $686.39	Professional		$487.95	$487.95	$686.39