Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.46 / $426.52 / $651.47	Professional		$343.46	$426.52	$651.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $434.00 / $552.84	Professional		$434.00	$434.00	$552.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $649.92 / $649.92	Facility		$649.92	$649.92	$649.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $474.45 / $649.92	Professional		$474.45	$474.45	$649.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.10 / $808.72 / $1,164.56	Professional		$566.10	$808.72	$1,164.56
United Facility/Professional Professional Modifier Low / Median / High Price $364.29 / $417.34 / $639.78	Professional		$364.29	$417.34	$639.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.36 / $489.36 / $566.10	Professional		$489.36	$489.36	$566.10