Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,348.96	Professional		$446.68	$537.03	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $707.95	Professional		$467.74	$549.54	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $870.96	Facility		$446.68	$645.65	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $1,202.26	Professional		$467.74	$645.65	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $1,071.52	Professional		$537.03	$588.84	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $436.52 / $707.95	Facility		$194.98	$436.52	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,071.52	Professional		$407.38	$575.44	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $812.83	Professional		$467.74	$630.96	$812.83