Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $977.24	Professional		$489.78	$602.56	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $933.25	Professional		$707.95	$707.95	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $776.25	Professional		$562.34	$562.34	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,041.74	Professional		$954.99	$1,348.96	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $794.33	Facility		$354.81	$512.86	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,071.52	Professional		$467.74	$660.69	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,122.02	Professional		$630.96	$630.96	$1,122.02