Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $676.08	Professional		$346.74	$446.68	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $588.84	Professional		$446.68	$446.68	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $575.44	Professional		$416.87	$416.87	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,288.25	Professional		$602.56	$851.14	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $575.44 / $588.84	Facility		$407.38	$575.44	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $660.69	Professional		$371.54	$426.58	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $707.95	Professional		$467.74	$467.74	$707.95