Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $794.33	Professional		$416.87	$537.03	$794.33
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 $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84
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 $416.87 / $707.95 / $724.44	Facility		$416.87	$707.95	$724.44
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 $562.34 / $562.34 / $870.96	Professional		$562.34	$562.34	$870.96