Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $741.31	Professional		$478.63	$575.44	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $363.08 / $426.58	Professional		$85.11	$363.08	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,380.38	Professional		$851.14	$1,023.29	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $263.03 / $562.34	Facility		$36.31	$263.03	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $812.83	Professional		$346.74	$575.44	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $954.99	Professional		$676.08	$676.08	$954.99