Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $812.83	Professional		$446.68	$575.44	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $645.65 / $758.58	Professional		$93.33	$645.65	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,513.56	Professional		$933.25	$1,122.02	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $288.40 / $616.60	Facility		$39.81	$288.40	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $891.25	Professional		$389.05	$630.96	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $912.01	Professional		$741.31	$741.31	$912.01