Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $616.60	Professional		$295.12	$363.08	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $457.09	Professional		$354.81	$354.81	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $407.38	Professional		$302.00	$302.00	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,000.00	Professional		$467.74	$676.08	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $489.78 / $501.19	Facility		$295.12	$489.78	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $524.81	Professional		$295.12	$338.84	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $562.34	Professional		$398.11	$398.11	$562.34