Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.75 / $425.51 / $642.39	Professional		$326.75	$425.51	$642.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $431.00 / $549.24	Professional		$431.00	$431.00	$549.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $456.40	Facility		$456.40	$456.40	$456.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $333.17 / $456.40	Professional		$333.17	$333.17	$456.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.41 / $803.46 / $1,156.98	Professional		$562.41	$803.46	$1,156.98
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.91 / $420.88 / $635.62	Professional		$361.91	$420.88	$635.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $441.97 / $441.97 / $562.41	Professional		$441.97	$441.97	$562.41