Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.77 / $435.17 / $826.59	Professional		$432.77	$435.17	$826.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $567.00 / $722.83	Professional		$567.00	$567.00	$722.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $751.98	Facility		$751.98	$751.98	$751.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $548.95	Professional		$548.95	$548.95	$548.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.17 / $1,057.39 / $1,522.64	Professional		$740.17	$1,057.39	$1,522.64
United Facility/Professional Facility Modifier Low / Median / High Price $328.15 / $479.78 / $564.79	Facility		$328.15	$479.78	$564.79
United Facility/Professional Professional Modifier Low / Median / High Price $437.54 / $527.52 / $840.86	Professional		$437.54	$527.52	$840.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $581.34 / $581.34 / $740.17	Professional		$581.34	$581.34	$740.17