Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $630.96	Professional		$302.00	$398.11	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $524.81	Professional		$398.11	$398.11	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,148.15	Professional		$524.81	$758.58	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $512.86	Facility		$309.03	$501.19	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $588.84	Professional		$331.13	$380.19	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $630.96	Professional		$407.38	$407.38	$630.96