Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Professional		$562.34	$741.31	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $363.08	Professional		$309.03	$309.03	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,584.89	Professional		$1,000.00	$1,202.26	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $457.09 / $851.14	Facility		$54.95	$457.09	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,348.96	Professional		$630.96	$891.25	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $954.99	Professional		$891.25	$954.99	$954.99