Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $575.44	Professional		$263.03	$354.81	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $467.74	Professional		$363.08	$363.08	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Professional		$338.84	$338.84	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,023.29	Professional		$478.63	$676.08	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $467.74	Facility		$281.84	$457.09	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $524.81	Professional		$302.00	$346.74	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $562.34	Professional		$363.08	$363.08	$562.34