Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $870.96	Professional		$371.54	$457.09	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $602.56	Professional		$446.68	$501.19	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,071.52	Professional		$426.58	$616.60	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $676.08	Professional		$446.68	$512.86	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $870.96	Professional		$371.54	$524.81	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $676.08	Professional		$363.08	$575.44	$676.08