Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.85 / $412.80 / $693.04	Professional		$362.85	$412.80	$693.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $417.00 / $531.84	Professional		$417.00	$417.00	$531.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $511.94	Facility		$511.94	$511.94	$511.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $373.72	Professional		$373.72	$373.72	$373.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.60 / $778.00 / $1,120.32	Professional		$544.60	$778.00	$1,120.32
United Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $410.33 / $615.48	Professional		$353.50	$410.33	$615.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $428.77 / $428.77 / $564.58	Professional		$428.77	$428.77	$564.58