Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.18 / $387.48 / $674.88	Professional		$329.18	$387.48	$674.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $424.00 / $540.17	Professional		$424.00	$424.00	$540.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $589.44	Facility		$589.44	$589.44	$589.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $430.29 / $589.44	Professional		$430.29	$430.29	$589.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.15 / $790.21 / $1,137.90	Professional		$553.15	$790.21	$1,137.90
United Facility/Professional Professional Modifier Low / Median / High Price $364.49 / $402.11 / $625.13	Professional		$364.49	$402.11	$625.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.16 / $478.16 / $553.15	Professional		$478.16	$478.16	$553.15