Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.27 / $429.46 / $700.23	Professional		$374.27	$429.46	$700.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $470.00 / $490.81 / $598.70	Professional		$470.00	$490.81	$598.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $695.50	Facility		$695.50	$695.50	$695.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $507.72 / $695.50	Professional		$507.72	$507.72	$695.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.07 / $875.81 / $1,261.17	Professional		$613.07	$875.81	$1,261.17
United Facility/Professional Professional Modifier Low / Median / High Price $394.50 / $451.25 / $692.85	Professional		$394.50	$451.25	$692.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $499.40 / $499.40 / $613.07	Professional		$499.40	$499.40	$613.07