Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $559.49 / $1,011.00	Professional		$481.19	$559.49	$1,011.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $639.41 / $779.98	Professional		$612.00	$639.41	$779.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $875.29	Facility		$875.29	$875.29	$875.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $638.96 / $875.29	Professional		$638.96	$638.96	$875.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.69 / $1,140.99 / $1,643.03	Professional		$798.69	$1,140.99	$1,643.03
United Facility/Professional Professional Modifier Low / Median / High Price $533.66 / $576.28 / $902.64	Professional		$533.66	$576.28	$902.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $655.74 / $655.74 / $798.69	Professional		$655.74	$655.74	$798.69