Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $758.58	Professional		$363.08	$512.86	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $691.83	Facility		$616.60	$616.60	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $524.81 / $616.60	Professional		$69.18	$524.81	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $954.99	Professional		$588.84	$707.95	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $295.12 / $489.78	Facility		$50.12	$295.12	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $851.14	Professional		$346.74	$446.68	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $977.24	Professional		$575.44	$977.24	$977.24