Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $344.75 / $584.79	Professional		$296.25	$344.75	$584.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $427.48 / $427.48 / $480.35	Professional		$427.48	$427.48	$480.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $564.36	Facility		$564.36	$564.36	$564.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $411.98 / $564.36	Professional		$411.98	$411.98	$564.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $702.69 / $1,011.87	Professional		$491.88	$702.69	$1,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $328.66 / $368.09 / $555.90	Professional		$328.66	$368.09	$555.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.41 / $404.41 / $491.88	Professional		$404.41	$404.41	$491.88