Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $630.96	Professional		$302.00	$371.54	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $489.78	Professional		$371.54	$371.54	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $549.54	Professional		$407.38	$407.38	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,071.52	Professional		$501.19	$707.95	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $524.81 / $537.03	Facility		$354.81	$524.81	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $549.54	Professional		$316.23	$363.08	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84