Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.83 / $622.08 / $630.49	Professional		$554.83	$622.08	$630.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $605.27 / $672.52 / $914.63	Professional		$605.27	$672.52	$914.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.53 / $587.41 / $1,087.84	Facility		$552.53	$587.41	$1,087.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.54 / $966.01 / $1,207.51	Professional		$445.54	$966.01	$1,207.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $966.75 / $1,260.98	Professional		$840.65	$966.75	$1,260.98
United Facility/Professional Facility Modifier Low / Median / High Price $353.07 / $353.07 / $353.07	Facility		$353.07	$353.07	$353.07
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $378.29 / $764.97	Professional		$353.07	$378.29	$764.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $225.46 / $846.27	Professional		$175.85	$225.46	$846.27