Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $369.85 / $631.11	Professional		$289.05	$369.85	$631.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $388.85 / $474.33	Professional		$372.00	$388.85	$474.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $500.58	Facility		$500.58	$500.58	$500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $365.42 / $500.58	Professional		$365.42	$365.42	$500.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.71 / $693.87 / $999.17	Professional		$485.71	$693.87	$999.17
United Facility/Professional Professional Modifier Low / Median / High Price $312.56 / $358.07 / $548.92	Professional		$312.56	$358.07	$548.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $419.87 / $419.87 / $485.71	Professional		$419.87	$419.87	$485.71