Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.81 / $344.67 / $628.53	Professional		$292.81	$344.67	$628.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $391.89 / $391.89 / $391.89	Professional		$391.89	$391.89	$391.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $527.25	Facility		$527.25	$527.25	$527.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $384.89 / $527.25	Professional		$384.89	$384.89	$527.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.03 / $702.90 / $1,012.18	Professional		$492.03	$702.90	$1,012.18
United Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $362.73 / $556.07	Professional		$333.14	$362.73	$556.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.34 / $425.34 / $492.03	Professional		$425.34	$425.34	$492.03