Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.35 / $513.85 / $911.70	Professional		$386.35	$513.85	$911.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $432.76 / $432.94 / $454.40	Professional		$432.76	$432.94	$454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.48 / $492.32 / $634.82	Facility		$418.48	$492.32	$634.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.88 / $448.87 / $815.94	Professional		$350.88	$448.87	$815.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.21 / $536.52 / $699.81	Professional		$443.21	$536.52	$699.81
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $445.00	Facility		$445.00	$445.00	$445.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.66 / $426.92 / $794.27	Professional		$336.66	$426.92	$794.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.67 / $443.24 / $536.52	Professional		$355.67	$443.24	$536.52