Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.85 / $390.44 / $599.13	Professional		$312.85	$390.44	$599.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $416.40 / $507.93	Professional		$398.00	$416.40	$507.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $418.79	Facility		$418.79	$418.79	$418.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $305.72 / $418.79	Professional		$305.72	$305.72	$418.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.11 / $743.02 / $1,069.95	Professional		$520.11	$743.02	$1,069.95
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $334.69 / $383.44 / $587.80	Professional		$334.69	$383.44	$587.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $405.55 / $405.55 / $520.11	Professional		$405.55	$405.55	$520.11