Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.72 / $508.89 / $850.49	Professional		$397.72	$508.89	$850.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.00 / $512.00 / $652.66	Professional		$512.00	$512.00	$652.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $435.50	Professional		$435.50	$435.50	$435.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.33 / $954.75 / $1,374.84	Professional		$668.33	$954.75	$1,374.84
United Facility/Professional Facility Modifier Low / Median / High Price $366.99 / $635.08 / $733.98	Facility		$366.99	$635.08	$733.98
United Facility/Professional Professional Modifier Low / Median / High Price $430.07 / $492.70 / $755.30	Professional		$430.07	$492.70	$755.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $577.73 / $577.73 / $668.33	Professional		$577.73	$577.73	$668.33