Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $870.96	Professional		$446.68	$549.54	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $707.95	Professional		$549.54	$549.54	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $660.69	Professional		$478.63	$478.63	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,548.82	Professional		$724.44	$1,047.13	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $776.25	Facility		$630.96	$758.58	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $812.83	Professional		$457.09	$524.81	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $870.96	Professional		$616.60	$616.60	$870.96