Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $741.31	Professional		$302.00	$457.09	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $645.65 / $645.65	Facility		$616.60	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $645.65	Professional		$467.74	$467.74	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,023.29	Professional		$446.68	$630.96	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $630.96	Facility		$331.13	$457.09	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $870.96	Professional		$436.52	$549.54	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $389.05 / $549.54	Professional		$75.86	$389.05	$549.54