Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $344.75 / $584.79	Professional		$296.25	$344.75	$584.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $392.28 / $392.28 / $480.35	Professional		$392.28	$392.28	$480.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $440.05	Facility		$440.05	$440.05	$440.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $321.24 / $440.05	Professional		$321.24	$321.24	$440.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $702.69 / $1,011.87	Professional		$491.88	$702.69	$1,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $316.52 / $354.79 / $555.90	Professional		$316.52	$354.79	$555.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.41 / $404.41 / $491.88	Professional		$404.41	$404.41	$491.88