Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $912.01	Professional		$457.09	$549.54	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $776.25	Professional		$588.84	$588.84	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,698.24	Professional		$794.33	$1,122.02	$1,698.24
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 / $549.54 / $891.25	Professional		$467.74	$549.54	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $933.25	Professional		$630.96	$630.96	$933.25