Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $758.58	Professional		$467.74	$575.44	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $660.69	Professional		$512.86	$575.44	$660.69
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 / $812.83 / $1,023.29	Professional		$380.19	$812.83	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $1,071.52	Professional		$676.08	$741.31	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $338.84 / $707.95	Facility		$302.00	$338.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $691.83	Professional		$302.00	$331.13	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $1,071.52	Professional		$8.71	$10.96	$1,071.52