Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $602.56	Professional		$309.03	$380.19	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $501.19	Professional		$380.19	$380.19	$501.19
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 $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,096.48	Professional		$501.19	$724.44	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $537.03 / $549.54	Facility		$354.81	$537.03	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $562.34	Professional		$316.23	$363.08	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $602.56	Professional		$426.58	$426.58	$602.56