Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $645.65	Professional		$302.00	$371.54	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $489.78	Professional		$389.05	$389.05	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $436.52	Professional		$323.59	$323.59	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,071.52	Professional		$501.19	$724.44	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $501.19 / $512.86	Facility		$436.52	$501.19	$512.86
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 $407.38 / $407.38 / $602.56	Professional		$407.38	$407.38	$602.56