Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $645.65	Professional		$436.52	$489.78	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $851.14	Facility		$371.54	$371.54	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $371.54	Professional		$269.15	$316.23	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,023.29	Professional		$660.69	$891.25	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $281.84 / $512.86	Facility		$33.88	$281.84	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $794.33	Professional		$371.54	$501.19	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $741.31	Professional		$616.60	$616.60	$741.31