Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.30 / $490.31 / $496.94	Professional		$437.30	$490.31	$496.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $477.05 / $530.05 / $720.88	Professional		$477.05	$530.05	$720.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.17 / $351.17 / $351.17	Facility		$351.17	$351.17	$351.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.16 / $761.16 / $951.45	Professional		$761.16	$761.16	$951.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.58 / $828.23 / $993.87	Professional		$662.58	$828.23	$993.87
United Facility/Professional Facility Modifier Low / Median / High Price $278.27 / $278.27 / $278.27	Facility		$278.27	$278.27	$278.27
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $311.41 / $602.92	Professional		$278.27	$311.41	$602.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.34 / $15.43	Professional		$12.04	$12.34	$15.43