Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.56 / $539.29 / $948.43	Professional		$496.56	$539.29	$948.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $651.00 / $651.00 / $829.37	Professional		$651.00	$651.00	$829.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $680.86	Facility		$680.86	$680.86	$680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $497.03 / $680.86	Professional		$497.03	$497.03	$680.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $849.28 / $1,213.25 / $1,747.08	Professional		$849.28	$1,213.25	$1,747.08
United Facility/Professional Facility Modifier Low / Median / High Price $346.24 / $502.60 / $818.85	Facility		$346.24	$502.60	$818.85
United Facility/Professional Professional Modifier Low / Median / High Price $473.23 / $605.27 / $964.80	Professional		$473.23	$605.27	$964.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $652.79 / $652.79 / $849.28	Professional		$652.79	$652.79	$849.28