Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $933.25	Professional		$537.03	$741.31	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $954.99 / $954.99	Professional		$95.50	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,047.13	Facility		$776.25	$776.25	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $660.69 / $776.25	Professional		$107.15	$660.69	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,041.74	Professional		$1,148.15	$1,513.56	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $389.05 / $724.44	Facility		$53.70	$389.05	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,258.93	Professional		$524.81	$758.58	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,047.13	Professional		$831.76	$831.76	$1,047.13