Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.83 / $438.68 / $845.65	Professional		$432.83	$438.68	$845.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $584.90 / $742.82	Professional		$526.41	$584.90	$742.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $408.71 / $1,371.44	Facility		$310.00	$408.71	$1,371.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $461.54 / $1,689.27	Professional		$310.00	$461.54	$1,689.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,134.71 / $1,499.54 / $1,955.93	Professional		$1,134.71	$1,499.54	$1,955.93
United Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $350.94 / $577.35	Professional		$263.20	$350.94	$577.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $288.83 / $651.98	Professional		$228.11	$288.83	$651.98