Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $440.00 / $667.04	Professional		$335.33	$440.00	$667.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $447.00 / $447.00 / $467.54	Professional		$447.00	$447.00	$467.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $572.20	Facility		$572.20	$572.20	$572.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $417.71 / $572.20	Professional		$417.71	$417.71	$572.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.00 / $834.29 / $1,201.38	Professional		$584.00	$834.29	$1,201.38
United Facility/Professional Professional Modifier Low / Median / High Price $375.80 / $416.21 / $660.00	Professional		$375.80	$416.21	$660.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $464.41 / $464.41 / $584.00	Professional		$464.41	$464.41	$584.00