Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.99 / $342.53 / $626.11	Professional		$290.99	$342.53	$626.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $391.46 / $477.52	Professional		$375.00	$391.46	$477.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $555.76	Facility		$555.76	$555.76	$555.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $405.70 / $555.76	Professional		$405.70	$405.70	$555.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.98 / $698.54 / $1,005.90	Professional		$488.98	$698.54	$1,005.90
United Facility/Professional Professional Modifier Low / Median / High Price $314.66 / $348.49 / $552.61	Professional		$314.66	$348.49	$552.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $422.69 / $422.69 / $488.98	Professional		$422.69	$422.69	$488.98