Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.69 / $621.29 / $1,013.02	Professional		$543.69	$621.29	$1,013.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.34 / $707.34 / $866.14	Professional		$707.34	$707.34	$866.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $724.63	Facility		$724.63	$724.63	$724.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $528.98 / $724.63	Professional		$528.98	$528.98	$724.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.93 / $1,267.04 / $1,824.54	Professional		$886.93	$1,267.04	$1,824.54
United Facility/Professional Professional Modifier Low / Median / High Price $570.74 / $663.71 / $1,002.35	Professional		$570.74	$663.71	$1,002.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $701.72 / $701.72 / $886.93	Professional		$701.72	$701.72	$886.93