Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $562.34	Professional		$288.40	$346.74	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $457.09	Professional		$398.11	$398.11	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $436.52	Professional		$316.23	$316.23	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,000.00	Professional		$467.74	$660.69	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $457.09	Facility		$398.11	$446.68	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $512.86	Professional		$295.12	$338.84	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $562.34	Professional		$363.08	$363.08	$562.34