Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $776.25	Professional		$407.38	$512.86	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $467.74	Professional		$380.19	$416.87	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $630.96	Facility		$416.87	$489.78	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $933.25	Professional		$346.74	$446.68	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $776.25	Professional		$457.09	$537.03	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $707.95	Facility		$446.68	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $794.33	Professional		$316.23	$407.38	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $660.69	Professional		$354.81	$489.78	$660.69