Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.35 / $517.89 / $703.01	Professional		$354.35	$517.89	$703.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $566.00 / $566.00 / $721.97	Professional		$566.00	$566.00	$721.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $703.94	Facility		$703.94	$703.94	$703.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $703.94	Professional		$598.35	$598.35	$703.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.31 / $1,056.15 / $1,520.86	Professional		$739.31	$1,056.15	$1,520.86
United Facility/Professional Professional Modifier Low / Median / High Price $395.18 / $529.27 / $835.52	Professional		$395.18	$529.27	$835.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.31 / $479.31 / $739.31	Professional		$479.31	$479.31	$739.31