Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.78 / $500.53 / $816.11	Professional		$427.78	$500.53	$816.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $547.00 / $547.00 / $697.77	Professional		$547.00	$547.00	$697.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.31 / $660.31 / $660.31	Facility		$660.31	$660.31	$660.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $482.03 / $660.31	Professional		$482.03	$482.03	$660.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.52 / $1,020.74 / $1,469.87	Professional		$714.52	$1,020.74	$1,469.87
United Facility/Professional Professional Modifier Low / Median / High Price $459.79 / $512.30 / $807.51	Professional		$459.79	$512.30	$807.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $617.66 / $617.66 / $714.52	Professional		$617.66	$617.66	$714.52