Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $912.01	Professional		$436.52	$537.03	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $741.31	Professional		$562.34	$562.34	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $758.58	Professional		$549.54	$549.54	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,621.81	Professional		$758.58	$1,071.52	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $724.44	Facility		$331.13	$478.63	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $831.76	Professional		$436.52	$524.81	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $891.25	Professional		$575.44	$575.44	$891.25