Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.80 / $345.72 / $582.41	Professional		$287.80	$345.72	$582.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $481.96	Professional		$378.00	$378.00	$481.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $394.91	Facility		$394.91	$394.91	$394.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $394.91	Professional		$288.27	$288.27	$394.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.52 / $705.03 / $1,015.24	Professional		$493.52	$705.03	$1,015.24
United Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $358.77 / $557.75	Professional		$317.58	$358.77	$557.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $382.42 / $382.42 / $493.52	Professional		$382.42	$382.42	$493.52