Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $691.83	Professional		$416.87	$489.78	$691.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $977.24	Professional		$660.69	$660.69	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $645.65	Facility		$549.54	$549.54	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $467.74 / $549.54	Professional		$66.07	$467.74	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,412.54	Professional		$645.65	$831.76	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $354.81 / $630.96	Facility		$48.98	$354.81	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,071.52	Professional		$436.52	$575.44	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $707.95	Professional		$616.60	$707.95	$707.95