Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.54 / $420.00 / $684.81	Professional		$367.54	$420.00	$684.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $521.08 / $521.08 / $585.52	Professional		$521.08	$521.08	$585.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $624.54	Facility		$624.54	$624.54	$624.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $455.91 / $624.54	Professional		$455.91	$455.91	$624.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.55 / $856.52 / $1,233.39	Professional		$599.55	$856.52	$1,233.39
United Facility/Professional Professional Modifier Low / Median / High Price $391.10 / $442.01 / $677.61	Professional		$391.10	$442.01	$677.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $474.36 / $474.36 / $599.55	Professional		$474.36	$474.36	$599.55