Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.83 / $440.35 / $919.05	Professional		$369.83	$440.35	$919.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $444.67 / $459.17 / $538.53	Professional		$444.67	$459.17	$538.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $791.44	Facility		$445.00	$453.73	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.78 / $580.35 / $969.59	Professional		$401.78	$580.35	$969.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.92 / $577.82 / $771.09	Professional		$447.92	$577.82	$771.09
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.36 / $506.86 / $815.95	Professional		$338.36	$506.86	$815.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $415.85 / $515.11 / $632.64	Professional		$415.85	$515.11	$632.64