Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.58 / $512.29 / $813.18	Professional		$418.58	$512.29	$813.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $545.00 / $545.00 / $695.27	Professional		$545.00	$545.00	$695.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $583.49	Facility		$583.49	$583.49	$583.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $425.95 / $583.49	Professional		$425.95	$425.95	$583.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.96 / $1,017.08 / $1,464.60	Professional		$711.96	$1,017.08	$1,464.60
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $458.15 / $524.86 / $804.61	Professional		$458.15	$524.86	$804.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $565.04 / $565.04 / $711.96	Professional		$565.04	$565.04	$711.96