Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $758.58	Professional		$363.08	$446.68	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $616.60	Professional		$478.63	$478.63	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $501.19	Professional		$363.08	$363.08	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,348.96	Professional		$630.96	$912.01	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $602.56	Facility		$269.15	$398.11	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $707.95	Professional		$363.08	$446.68	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $758.58	Professional		$478.63	$478.63	$758.58