Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $977.24	Professional		$489.78	$660.69	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $891.25	Professional		$676.08	$676.08	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $954.99	Professional		$691.83	$691.83	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,949.84	Professional		$891.25	$1,288.25	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $831.76	Facility		$588.84	$812.83	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $1,000.00	Professional		$562.34	$645.65	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,071.52	Professional		$660.69	$660.69	$1,071.52