Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.69 / $400.09 / $630.11	Professional		$312.69	$400.09	$630.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $420.65 / $513.11	Professional		$402.00	$420.65	$513.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $485.57 / $485.57	Facility		$485.57	$485.57	$485.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $354.47 / $485.57	Professional		$354.47	$354.47	$485.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.42 / $750.62 / $1,080.89	Professional		$525.42	$750.62	$1,080.89
United Facility/Professional Professional Modifier Low / Median / High Price $338.12 / $374.47 / $586.51	Professional		$338.12	$374.47	$586.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $454.21 / $454.21 / $525.42	Professional		$454.21	$454.21	$525.42