Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $758.58	Professional		$478.63	$575.44	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $812.83	Professional		$630.96	$691.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $831.76 / $1,023.29	Professional		$380.19	$831.76	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $1,071.52	Professional		$691.83	$758.58	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $338.84 / $724.44	Facility		$302.00	$338.84	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $691.83	Professional		$302.00	$338.84	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $575.44 / $1,071.52	Professional		$281.84	$575.44	$1,071.52