Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $676.08	Professional		$316.23	$426.58	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $537.03	Professional		$407.38	$407.38	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,174.90	Professional		$549.54	$776.25	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $575.44	Facility		$257.04	$380.19	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $602.56	Professional		$346.74	$380.19	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $645.65	Professional		$457.09	$457.09	$645.65