Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $676.08	Professional		$426.58	$512.86	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $588.84	Professional		$457.09	$512.86	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $741.31 / $912.01	Professional		$338.84	$741.31	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $954.99	Professional		$602.56	$676.08	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $302.00 / $645.65	Facility		$269.15	$302.00	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $616.60	Professional		$269.15	$302.00	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $954.99	Professional		$81.28	$104.71	$954.99