Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $562.34	Professional		$251.19	$363.08	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $478.63	Professional		$363.08	$363.08	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $489.78	Professional		$363.08	$363.08	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,047.13	Professional		$489.78	$691.83	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $436.52	Facility		$302.00	$426.58	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $537.03	Professional		$309.03	$354.81	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $575.44	Professional		$346.74	$346.74	$575.44