Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.50 / $460.00 / $692.08	Professional		$359.50	$460.00	$692.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $463.00 / $589.94	Professional		$463.00	$463.00	$589.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $582.20	Facility		$582.20	$582.20	$582.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $425.01 / $582.20	Professional		$425.01	$425.01	$582.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.10 / $863.00 / $1,242.72	Professional		$604.10	$863.00	$1,242.72
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $403.64 / $445.35 / $682.72	Professional		$403.64	$445.35	$682.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $522.23 / $522.23 / $604.10	Professional		$522.23	$522.23	$604.10