Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.91 / $470.69 / $842.14	Professional		$440.91	$470.69	$842.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $581.94 / $581.94 / $736.42	Professional		$581.94	$581.94	$736.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $616.27	Facility		$616.27	$616.27	$616.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $449.88 / $616.27	Professional		$449.88	$449.88	$616.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.10 / $1,077.28 / $1,551.28	Professional		$754.10	$1,077.28	$1,551.28
United Facility/Professional Professional Modifier Low / Median / High Price $470.09 / $548.67 / $856.68	Professional		$470.09	$548.67	$856.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $595.44 / $595.44 / $754.10	Professional		$595.44	$595.44	$754.10