Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,348.96	Professional		$562.34	$724.44	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $691.83	Professional		$562.34	$630.96	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $338.84	Facility		$134.90	$158.49	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,348.96	Professional		$467.74	$630.96	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,023.29	Professional		$602.56	$707.95	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Facility		$89.13	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,122.02	Professional		$426.58	$562.34	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $870.96	Professional		$467.74	$630.96	$870.96