Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.43 / $460.97 / $875.60	Professional		$458.43	$460.97	$875.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $601.00 / $601.00 / $765.68	Professional		$601.00	$601.00	$765.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $627.26	Facility		$627.26	$627.26	$627.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $457.90	Professional		$457.90	$457.90	$457.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.06 / $1,120.08 / $1,612.92	Professional		$784.06	$1,120.08	$1,612.92
United Facility/Professional Facility Modifier Low / Median / High Price $339.48 / $496.34 / $584.28	Facility		$339.48	$496.34	$584.28
United Facility/Professional Professional Modifier Low / Median / High Price $435.98 / $558.79 / $890.71	Professional		$435.98	$558.79	$890.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $601.41 / $601.41 / $784.06	Professional		$601.41	$601.41	$784.06