Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,202.26	Professional		$446.68	$549.54	$1,202.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $707.95	Professional		$501.19	$575.44	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $457.09	Facility		$446.68	$446.68	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,258.93	Professional		$457.09	$630.96	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,122.02	Professional		$630.96	$724.44	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $467.74	Facility		$36.31	$40.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,047.13	Professional		$398.11	$575.44	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $912.01	Professional		$467.74	$741.31	$912.01