Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $851.14	Professional		$575.44	$691.83	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $707.95 / $831.76	Professional		$102.33	$707.95	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,659.59	Professional		$1,023.29	$1,230.27	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $316.23 / $676.08	Facility		$43.65	$316.23	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $977.24	Professional		$426.58	$691.83	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,174.90	Professional		$831.76	$831.76	$1,174.90