Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.36 / $492.30 / $927.43	Professional		$420.36	$492.30	$927.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $559.73 / $559.73 / $686.30	Professional		$559.73	$559.73	$686.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $765.11	Facility		$765.11	$765.11	$765.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $558.53 / $765.11	Professional		$558.53	$558.53	$765.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.77 / $1,003.96 / $1,445.70	Professional		$702.77	$1,003.96	$1,445.70
United Facility/Professional Professional Modifier Low / Median / High Price $457.11 / $518.10 / $794.24	Professional		$457.11	$518.10	$794.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $607.51 / $607.51 / $702.77	Professional		$607.51	$607.51	$702.77