Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $398.18 / $642.17	Professional		$336.22	$398.18	$642.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $440.00 / $561.57	Professional		$440.00	$440.00	$561.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $511.34	Facility		$511.34	$511.34	$511.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $373.28 / $511.34	Professional		$373.28	$373.28	$511.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.04 / $821.49 / $1,182.95	Professional		$575.04	$821.49	$1,182.95
United Facility/Professional Facility Modifier Low / Median / High Price $260.04 / $377.47 / $614.98	Facility		$260.04	$377.47	$614.98
United Facility/Professional Professional Modifier Low / Median / High Price $346.01 / $409.83 / $653.27	Professional		$346.01	$409.83	$653.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $490.26 / $490.26 / $575.04	Professional		$490.26	$490.26	$575.04