Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.53 / $463.21 / $522.79	Professional		$412.53	$463.21	$522.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $492.64 / $530.09 / $583.10	Professional		$492.64	$530.09	$583.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $873.24	Facility		$445.00	$453.73	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.33 / $605.10 / $998.84	Professional		$411.33	$605.10	$998.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.42 / $602.97 / $794.38	Professional		$467.42	$602.97	$794.38
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.38 / $477.49 / $991.82	Professional		$354.38	$477.49	$991.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $440.81 / $537.53 / $668.36	Professional		$440.81	$537.53	$668.36