Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $741.31	Professional		$371.54	$457.09	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $602.56	Professional		$524.81	$524.81	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $630.96	Professional		$457.09	$457.09	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,318.26	Professional		$616.60	$870.96	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $588.84 / $602.56	Facility		$512.86	$588.84	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $676.08	Professional		$389.05	$446.68	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $724.44	Professional		$478.63	$478.63	$724.44